Foreman, Blair W
Foreman, Blair W is an individual health care provider with primary practice located at 1236 E Rusholme St Ste 300 , Davenport IA 52803-2473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Foreman, Blair W can be contacted via phone (633) 242-9925.Contact Information
Primary practice address
1236 E Rusholme St Ste 300
Davenport IA 52803-2473
Phone: (633) 242-9925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 29445 | Iowa |
Profile Details
| NPI number | 1750360616 |
|---|---|
| LBN Legal business name | Foreman, Blair W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | May 29th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750360616 | NPPES |
| Other | 060055859 | MEDICARE RAILROAD | |
| MEDICAID | 3114827 | MEDICARE RAILROAD |
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