Active NPIIndividual providerSole proprietor

Keith Fortier, MD

Obstetrics & Gynecology in Waterford, Vermont

NPI Number1740390053
Practice location
594 Copenhagen RD, Waterford, VT 05819-9055
Fax
707-734-8573
Last updated
January 28, 2010

Keith Fortier is an Obstetrics & Gynecology based in Waterford, VT. Keith Fortier practices in Waterford, VT and has the professional credentials of MD. The NPI Number for Keith Fortier is 1740390053 and holds a License No. 042-0006155 (VT). The current practice location address for Keith Fortier is 594 Copenhagen RD, Waterford, VT 05819-9055 and can be reached out via phone at 802-748-8573 and via fax at 707-734-8573.

Provider Profile Details

NPI Number
1740390053
Provider Name
Keith Fortier
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
594 Copenhagen RD, Waterford, VT 05819-9055
Phone Number
802-748-8573
Fax Number
707-734-8573
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2006
Last Update Date
January 28, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
594 Copenhagen RD
Waterford, VT 05819-9055
State
Vermont
Zip
05819-9055
Phone Number
802-748-8573
Fax Number
707-734-8573
Waterford, VT 05819Get directions →

Provider Business Mailing Address Details

Address
594 Copenhagen RD
Waterford, VT 05819-9055
City
Waterford
State
VT
Zip
05819-9055
Phone Number
802-748-8573
Fax Number
707-734-8573

License Information

License Number
042-0006155
License State
VT
Taxonomy
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keith Fortier, MD?

The NPI number of Keith Fortier, MD is 1740390053. It was assigned on August 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Keith Fortier, MD?

Keith Fortier, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in VT under license number 042-0006155.

Where does Keith Fortier, MD practice?

The practice location is 594 Copenhagen RD, Waterford, VT 05819-9055. The office can be reached at 802-748-8573 (phone) or 707-734-8573 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740390053 directly on the NPPES registry website.

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