person
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.

Location: 2618 Rosebush Rd, Dothan, AL, 36303-5521
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
State
Zip
36303-5521
Phone Number
334-333-0488
Fax Number
person
Provider Business Mailing Address Details
Address
2618 Rosebush Rd
City
State
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
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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