Fort Healthcare INC

NPI #1417993361 in Fort Atkinson, Wisconsin

Provider Information

NPI Number: 1417993361
Entity Type: Organization
Organization Name: Fort Healthcare INC
Primary Specialty: Counselor
Enumeration Date: Jun 21, 2006
Last Updated: Oct 7, 2022

Practice Location

Address: 611 SHERMAN AVE E
City: Fort Atkinson
State: Wisconsin
ZIP Code: 53538-1960
Phone: (920) 568-6580

Authorized Official

Name: SHELBY WALLING
Title: CREDENTIALING SPECIALIST
Phone: (920) 563-4466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Social Worker - Clinical — Clinical	1041C0700X
Optometrist	152W00000X
Dermatology	207N00000X
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
Ophthalmology	207W00000X
Orthopaedic Surgery	207X00000X
Otolaryngology	207Y00000X
Surgery	208600000X
Urology	208800000X
General Practice	208D00000X
Audiologist	231H00000X
Nurse Practitioner	363L00000X
Counselor	101Y00000X	Primary

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