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Contact Information

THERESA V FORTY, DO
1900 ELECTRIC RD
SALEM, VA24153
 Phone: 540-776-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THERESA V FORTY · (Female)

NPI # 1982022976
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/07/2014
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5101020889
  • VA License # 0102205314
Hospital affiliation(s)
  • LEWISGALE MEDICAL CENTER - (Acute Care)
    1900 ELECTRIC ROAD
    SALEM, VA 24153
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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