Fortier, Jillian Lea

Fortier, Jillian Lea is an individual health care provider with primary practice located at 263 Farmington Ave Residency Administration- Ag093, Farmington CT 06030-1921. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Fortier, Jillian Lea can be contacted via phone (860) 679-2147.

Contact Information

Primary practice address
263 Farmington Ave Residency Administration- Ag093 Farmington CT 06030-1921
Phone: (860) 679-2147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 060797 Connecticut
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1184945586
LBN Legal business name Fortier, Jillian Lea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2010
Last updated Nov 7th, 2022 - about 4 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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