Provider Demographics
NPI:1164736310
Name:FORTUNE BILLING SERVICES
Entity Type:Organization
Organization Name:FORTUNE BILLING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NURKEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SENGALIYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-659-6553
Mailing Address - Street 1:2389 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-4617
Mailing Address - Country:US
Mailing Address - Phone:860-659-6553
Mailing Address - Fax:
Practice Address - Street 1:2389 MAIN ST
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4617
Practice Address - Country:US
Practice Address - Phone:860-659-6553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty