Fordem Health, Llc

LBN: Fordem Health, Llc
Fordem Health, Llc is an health care organization with primary practice located at 1313 Park Dr , Munster IN 46321-2634. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Fordem Health, Llc can be contacted via phone (877) 757-2568, or through Foreit, David John via phone (877) 757-2568.

Contact Information

Primary practice address
1313 Park Dr Munster IN 46321-2634
Phone: (877) 757-2568
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Foreit, David John Doctor of Osteopathy (DO)
Phone: (877) 757-2568

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 02001522 Indiana

Profile Details

NPI number 1639622236
LBN Legal business name Fordem Health, Llc
DBA Doing business as
Authorized official Foreit, David John Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2016
Last updated Oct 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639622236 NPPES
Other 1376740647 NPI NUMBER
Other 256390C NPI NUMBER

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