Heather J Fortin, RD,CD,CSCS is a
Dietitian, Registered based in Lac Du Flambeau, Wisconsin. Heather J Fortin is licensed to practice in Wisconsin (license number 1667-029) and her current practice location is
450 Old Abe Rd, Lac Du Flambeau, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 588-4279.
NPI number for Heather J Fortin is 1114958378 and her current mailing address is 450 Old Abe Rd, Lac Du Flambeau, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114958378.
Healthcare Provider's Profile
Full Name | Heather J Fortin |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 450 Old Abe Rd, Lac Du Flambeau, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114958378
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Heather J Fortin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114958378 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1667-029 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather J Fortin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Heather J Fortin, RD,CD,CSCS 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 Ph: (715) 588-4279 | Heather J Fortin, RD,CD,CSCS 450 Old Abe Rd, Lac Du Flambeau, WI 54538-9682 Ph: (715) 588-4279 |
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