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
Phone: (203) 674-0774
Fax: (203) 674-0766
Website:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1427050426 | NPPES |
| Connecticut | MEDICAID | 008036735 |
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