Lynda A Fortman

Individual provider Active NPI Case Manager/Care Coordinator · Ottawa, OH

NPI 1013548502 · NPPES record last updated Feb 3, 2020

Key facts

NPI
1013548502
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
835 N Locust St
Ottawa, OH 45875-1216
Phone
(419) 523-4300
Fax
(419) 523-6188
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

835 N Locust St
Ottawa, OH 45875-1216

Mailing address

835 N Locust St
Ottawa, OH 45875-1216
Phone (419) 523-4300

Other providers in Ottawa, OH

All providers in Ottawa, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.