Fortune, John Joseph

Fortune, John Joseph is an sole proprietor health care provider with primary practice located at 350 W Thomas Rd Attn: Academic Affairs, Phoenix AZ 85013-4409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Fortune, John Joseph can be contacted via phone (602) 406-3538.

Contact Information

Primary practice address
350 W Thomas Rd Attn: Academic Affairs Phoenix AZ 85013-4409
Phone: (602) 406-3538
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X R71961 Arizona

Profile Details

NPI number 1881996221
LBN Legal business name Fortune, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2010
Last updated Nov 17th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881996221 NPPES
Arizona Other R71961 TRAINING PERMIT

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