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Contact Information

ANNAIL R FORT, CERTIFIED HAIR LOSS
3009B MCGEHEE RD
MONTGOMERY, AL36111-2202
 Phone: 334-280-3930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for ANNAIL R FORT · (Female)

NPI # 1497129159
Status Active
Credentials CERTIFIED HAIR LOSS
Entity Individual
Enumeration date 11/18/2015
Last updated 11/18/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 59208
  • Other 0012375683899003082 UNITEDHEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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