Whalio Doctors

NPI 1841292612

Joseph D Fortin, DO

Practitioner Interventional Pain Medicine Physician Fort Wayne, IN

Practice location

Address
9502 Lima Road STE 103, Fort Wayne, IN 46818-9270
Phone
(260) 459-7313
Fax
(260) 436-0628
Mailing address
9502 Lima Road Suite 103, Fort Wayne, IN 46818-9270

Registered specialties (2)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 02001553A (IN)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 02001553A (IN)

Registry record

NPI
1841292612
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Aug 2005
Record last updated
18 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.