Individual
EMILIE CATHERINE FORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
713 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1614
(757) 282-4150
(757) 510-9455
Mailing address
713 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1614
(757) 282-4150
(757) 510-9455
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101289803
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116034680
VA
Other
Enumeration date
06/05/2020
Last updated
07/15/2026
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