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Mr. Dan Fortin
Student in an Organized Health Care Education/Training Program in Dothan, Alabama
NPI 1225423635

Dan Fortin is a Student in an Organized Health Care Education/Training Program based in Dothan, AL. Dan Fortin practices in Dothan, AL. The NPI Number for Dan Fortin is 1225423635 and holds a License No. S10409 (Alabama).

The current practice location address for Dan Fortin is 2618 Rosebush Rd, Dothan, AL and can be reached out via phone at 334-333-0488. You can also correspond with Dan Fortin through the mailing address at 2618 ROSEBUSH RD, DOTHAN, AL - 36303-5521 (mailing address contact number: 334-333-0488).

Location: 2618 Rosebush Rd, Dothan, AL, 36303-5521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225423635
Provider Name
Dan Fortin
Credential
Provider Entity Type
Individual
Gender
Male
Address
2618 Rosebush Rd, Dothan, AL, 36303-5521
Phone Number
334-333-0488
Fax Number
Provider Enumeration Date
04/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2618 Rosebush Rd
City
Dothan
State
Alabama
Zip
36303-5521
Phone Number
334-333-0488
Fax Number
person
Provider Business Mailing Address Details
Address
2618 Rosebush Rd
City
Dothan
State
Alabama
Zip
36303-5521
Phone Number
334-333-0488
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S10409 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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