Foreman, Kenneth Todd
Foreman, Kenneth Todd is an sole proprietor health care provider with primary practice located at 250 Chateau Dr Sw Suite 105, Huntsville AL 35801-3497. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Foreman, Kenneth Todd can be contacted via phone (256) 880-1977.Contact Information
Primary practice address
250 Chateau Dr Sw Suite 105
Huntsville AL 35801-3497
Phone: (256) 880-1977
Fax: (256) 880-6022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 18679 | Alabama |
Profile Details
| NPI number | 1356398606 |
|---|---|
| LBN Legal business name | Foreman, Kenneth Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Jul 10th, 2012 - about 13 years 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 | 1356398606 | NPPES |
| Alabama | MEDICAID | 051516407 |
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