Mary Fortkamp, CST

NPI 1427298793 · on the registry since 2009 · sole proprietor

Practice

Address: 1520 S Main St
Dayton, OH 45409
Phone: (937) 223-1279
Fax: (937) 223-9979
Organisation at this address: Mvhe Inc
Mvhe Inc
Mvhe Inc
Associated Optical
Premier Community Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 45

Registry record

Primary taxonomy: 246ZS0410X
246ZS0410X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio