Fort, Glenn G.
Fort, Glenn G. is an individual health care provider with primary practice located at 115 Cass Ave Landmark Medical Center, Woonsocket RI 02895. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fort, Glenn G. can be contacted via phone (401) 766-3428.Contact Information
Primary practice address
115 Cass Ave Landmark Medical Center
Woonsocket RI 02895
Phone: (401) 766-3428
Fax: (401) 767-1633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD07281 | Rhode Island |
Profile Details
| NPI number | 1114900024 |
|---|---|
| LBN Legal business name | Fort, Glenn G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114900024 | NPPES |
| Rhode Island | MEDICAID | 9006604 |
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