Fortune, Taryn
Fortune, Taryn is an individual health care provider with primary practice located at 5454 Wisconsin Ave Suite 1720, Chevy Chase MD 20815-6901. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Fortune, Taryn can be contacted via phone (301) 562-7200.Contact Information
Primary practice address
5454 Wisconsin Ave Suite 1720
Chevy Chase MD 20815-6901
Phone: (301) 562-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TRN17513 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D0071330 | Maryland |
Profile Details
| NPI number | 1659572089 |
|---|---|
| LBN Legal business name | Fortune, Taryn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Nov 26th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659572089 | NPPES |
| Maryland | Other | D0071330 | STATE MEDICAL LICENSE |
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