Mr. Jack L. Fortenberry

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Jack L. Fortenberry
Gender:	M
Provider License Number If Given:	3030

NPI Information:

NPI:	1023155645
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	1/31/2007
Last Update Date:	7/8/2007

Provider Business Mailing Address:

Address:	PO BOX 695 Choctaw, OK 73020
Phone Number:	4053908131
Fax Number:	4053908134

Provider Business Practice Location Address:

Address:	14625 NE 23RD STREET Choctaw, OK 73020
Phone Number:	4053908131
Fax Number:	4053908134

Provider Taxonomy:

Primary:	101Y00000X
Secondary (if any):
State:	OK

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About Mr. Jack L. Fortenberry

Mr. Jack L. Fortenberry (MR. JACK L. FORTENBERRY ) is A Counselor Physician in Choctaw, OK. The NPI Number for Mr. Jack L. Fortenberry is 1023155645.

The current location address for Mr. Jack L. Fortenberry is 14625 NE 23RD STREET Choctaw, OK 73020 and the contact number is 4053908131 and fax number is 4053908134. The mailing address for Mr. Jack L. Fortenberry is PO BOX 695 Choctaw, OK 73020- 4053908131 (mailing address contact number - 4053908131).

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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FAQs:

What is the NPI Number for Mr. Jack L. Fortenberry ?

Answer: The NPI Number for Mr. Jack L. Fortenberry is 1023155645

Where is Mr. Jack L. Fortenberry located?

Answer: Mr. Jack L. Fortenberry is located at 14625 NE 23RD STREET Choctaw, OK 73020.

What is the specialty for Mr. Jack L. Fortenberry ?

Answer: The Specialty of Mr. Jack L. Fortenberry is A Counselor Physician.

Are there any online reviews for Mr. Jack L. Fortenberry ?

Answer: Not yet!

Are there any other health care providers in Choctaw, OK?

Answer: Yes, there are given below...

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