Bobby Fortes

Individual provider Active NPI Case Manager/Care Coordinator · Athol, MA

NPI 1982477337 · NPPES record last updated Nov 6, 2023

Key facts

NPI
1982477337
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2033 Main St
Athol, MA 01331-3535
Phone
(978) 249-9490
NPI assigned
Nov 6, 2023
Sex
Male
Sole proprietor
Yes

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

2033 Main St
Athol, MA 01331-3535

Mailing address

21 Miles Ave
Westminster, MA 01473-1323

Other providers in Athol, MA

All providers in Athol, MA · Case Manager/Care Coordinator in Massachusetts

Sources for this page

Verify at the official NPI Registry.