Fortune, Rachel

Fortune, Rachel is an individual health care provider with primary practice located at 64 Double Hill Rd , Bethlehem CT 06751-1101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Fortune, Rachel can be contacted via phone (303) 854-8888.

Contact Information

Primary practice address
64 Double Hill Rd Bethlehem CT 06751-1101
Phone: (303) 854-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 51267 Connecticut

Profile Details

NPI number 1184779555
LBN Legal business name Fortune, Rachel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 11th, 2014 - about 11 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 1184779555 NPPES
Colorado MEDICAID 49437518

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