Individual provider · Type 1 NPI

Dan Fortin

Student in an Organized Health Care Education/Training Program · Dothan, AL

NPI number 1225423635 Active

Practice location

2618 Rosebush Rd
Dothan, AL 36303-5521

Call (334) 333-0488 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XS10409 (AL)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1225423635

Dan Fortin's National Provider Identifier is 1225423635, issued on Apr 2, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dothan, AL. The record was last updated on Apr 2, 2015.