Fortt, Tabitha

Fortt, Tabitha is an individual health care provider with primary practice located at 23 Hoyt St Suite #4, Stamford CT 06905-5604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fortt, Tabitha can be contacted via phone (203) 674-0774.

Contact Information

Primary practice address
23 Hoyt St Suite #4 Stamford CT 06905-5604
Fax: (203) 674-0766
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 037894 Connecticut

Profile Details

NPI number 1427050426
LBN Legal business name Fortt, Tabitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 24th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427050426 NPPES
Connecticut MEDICAID 008036735

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