Mr. Jeffrey E Fortin, WAIVER
Social Worker in Berlin, New Hampshire
1700365079- Practice location
- 69 Willard St, Berlin, NH 03570-2095
- Phone
- 603-752-1005
- Fax
- —
- Last updated
- August 8, 2018
Jeffrey Eric Fortin is a Social Worker based in Berlin, NH. Jeffrey Eric Fortin practices in Berlin, NH and has the professional credentials of WAIVER. The NPI Number for Jeffrey Eric Fortin is 1700365079. The current practice location address for Jeffrey Eric Fortin is 69 Willard St, Berlin, NH 03570-2095 and can be reached out via phone at 603-752-1005.
Provider Profile Details
- NPI Number
- 1700365079
- Provider Name
- Jeffrey Eric Fortin
- Credential
- WAIVER
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 69 Willard St, Berlin, NH 03570-2095
- Phone Number
- 603-752-1005
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 8, 2018
- Last Update Date
- August 8, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 69 Willard St
Berlin, NH 03570-2095 - City
- Berlin
- State
- New Hampshire
- Zip
- 03570-2095
- Phone Number
- 603-752-1005
Provider Business Mailing Address Details
- Address
- 87 Washington St
Conway, NH 03818-6044 - City
- Conway
- State
- NH
- Zip
- 03818-6044
- Phone Number
- 603-447-3905
License Information
- Taxonomy
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near Berlin, NH
View all Social Workers in Berlin →Frequently Asked Questions
What is the NPI number of Mr. Jeffrey E Fortin, WAIVER?
The NPI number of Mr. Jeffrey E Fortin, WAIVER is 1700365079. It was assigned on August 8, 2018 and is currently active in the NPPES registry.
What is the specialty of Mr. Jeffrey E Fortin, WAIVER?
Mr. Jeffrey E Fortin, WAIVER is registered under the primary taxonomy Social Worker (code 104100000X).
Where does Mr. Jeffrey E Fortin, WAIVER practice?
The practice location is 69 Willard St, Berlin, NH 03570-2095. The office can be reached at 603-752-1005 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700365079 directly on the NPPES registry website.