MEDICARE: DR. BILL JEFFREY FORTE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0101052576	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356302798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BILL JEFFREY FORTE M.D.

Provider Business Mailing Address
First Line	:	7447 CENTRAL BUSINESS PARK DR
Second Line	:	CITY OF NORFOLK COMMUNITY SERVICES BOARD
City	:	NORFOLK
State	:	VA
Zip	:	23513-2831
Country	:	US
Telephone Number	:	757-756-5600
Fax Number	:	757-937-0542

Provider Business Practice Location Address
First Line	:	7447 CENTRAL BUSINESS PARK DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-2831
Country	:	US
Telephone Number	:	757-756-5600
Fax Number	:	757-937-0542

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	12/13/2019

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