Fortier, Lawrence J.

Fortier, Lawrence J. is an sole proprietor health care provider with primary practice located at 465 Silas Deane Hwy , Wethersfield CT 06109-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Fortier, Lawrence J. can be contacted via phone (860) 529-2500.

Contact Information

Primary practice address
465 Silas Deane Hwy Wethersfield CT 06109-2134
Phone: (860) 529-2500
Fax: (860) 529-6899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 025854 Connecticut

Profile Details

NPI number 1972592822
LBN Legal business name Fortier, Lawrence J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Mar 15th, 2017 - about 9 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 1972592822 NPPES
Connecticut Other 010025854CT01 ANTHEM BC/BS
Connecticut MEDICAID 001258540 ANTHEM BC/BS

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