Jeannine Marie Fortin in Seymour - Family Medicine

Jeannine Marie Fortin - NPI 1174556450

Jeannine Marie Fortin is a Family Medicine in Seymour, Wisconsin. Jeannine Marie Fortin practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeannine Marie Fortin is 1174556450. The last update date is 2012-09-11.

Jeannine Marie Fortin's current location address is 1100 Orchard Dr, Seymour, Wisconsin. You can contact this provider via phone number 9208335100 and fax number 9208335100. The mailing address for Jeannine Marie Fortin is 1100 Orchard Dr, Seymour, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeannine Marie Fortin
Address 1100 Orchard Dr, Seymour, Wisconsin
Phone Number 9208335100
Fax Number 9208335100
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1174556450
Provider Enumeration Date 2006-07-09
Last Updated Date 2012-09-11

Provider Mailing Address Detail

Address 1100 Orchard Dr
City Seymour
State Wisconsin (WI)
Post Code 541651600
Phone Number 9208335100
Fax Number 9208335100

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 46699
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34533800 WI --

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FAQs about Jeannine Marie Fortin

What is the unique identification code assigned to Jeannine Marie Fortin by the Centers for Medicare & Medicaid Services?

The Jeannine Marie Fortin has been issued the NPI (National Provider Identifier) 1174556450. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jeannine Marie Fortin's facilities are geographically located?

The facilities of Jeannine Marie Fortin are physically situated at the following location: 1100 Orchard Dr, Seymour, WI, 541651600.

What is the Jeannine Marie Fortin's area of specialization and corresponding taxonomy classification?

The Jeannine Marie Fortin's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1174556450 to Jeannine Marie Fortin?

The Centers for Medicare & Medicaid Services assigned the 1174556450 to Jeannine Marie Fortin on 2006-07-09.

As of what date was the information pertaining to Jeannine Marie Fortin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeannine Marie Fortin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-11.

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