Tony Joe Fortin in Greensboro - Addiction (substance Use Disorder)
Tony Joe Fortin - NPI 1689742462
Tony Joe Fortin is a Addiction (substance Use Disorder) in Greensboro, North Carolina. Tony Joe Fortin practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tony Joe Fortin is 1689742462. The last update date is 2021-12-30.
Tony Joe Fortin's current location address is 1203 Maple St, Greensboro, North Carolina. You can contact this provider via phone number 3366413934 and fax number 3366416193. The mailing address for Tony Joe Fortin is 1203 Maple St, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tony Joe Fortin |
|---|---|
| Address | 1203 Maple St, Greensboro, North Carolina |
| Phone Number | 3366413934 |
| Fax Number | 3366416193 |
| Sole Proprietor | N |
| Credentials | LCMHCS, LC |
NPI Number Detail
| NPI Number | 1689742462 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 1203 Maple St |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274056910 |
| Phone Number | 3366413934 |
| Fax Number | 3366416193 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 692 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6102795 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tony Joe Fortin by the Centers for Medicare & Medicaid Services (CMS)?
The Tony Joe Fortin has been assigned the NPI (National Provider Identifier) 1689742462. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Tony Joe Fortin's facilities are situated?
The facilities of Tony Joe Fortin are physically located at the following address: 1203 Maple St, Greensboro, NC, 274056910.
What is Tony Joe Fortin's area of expertise and its corresponding taxonomy classification?
The Tony Joe Fortin's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Tony Joe Fortin receive the assignment of its 1689742462 from the Centers for Medicare & Medicaid Services?
The Tony Joe Fortin was issued its 1689742462 by the Centers for Medicare & Medicaid Services on 2006-12-01.
As of what date were the details pertaining to Tony Joe Fortin last refreshed?
The information related to the Tony Joe Fortin, including its address, specialty, and other relevant details, was last updated on 2021-12-30.
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