Fortune, Thomas P

Fortune, Thomas P is an individual health care provider with primary practice located at 101 Park Hill Drive , Fredericksburg VA 22401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fortune, Thomas P can be contacted via phone (540) 371-3010.

Contact Information

Primary practice address
101 Park Hill Drive Fredericksburg VA 22401
Phone: (540) 371-3010
Fax: (540) 899-9821
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 010103908 Virginia

Profile Details

NPI number 1134223274
LBN Legal business name Fortune, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Nov 13th, 2008 - about 18 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 1134223274 NPPES
Virginia MEDICAID 006037402
Virginia Other 110026872
Virginia Other 00414802
Virginia Other 094197

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