Foreman, Michael Dale

Foreman, Michael Dale is an individual health care provider with primary practice located at 4540 Ambassador Caffery Pkwy Suite A110, Lafayette LA 70508-6928. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Foreman, Michael Dale can be contacted via phone (337) 984-1610.

Contact Information

Primary practice address
4540 Ambassador Caffery Pkwy Suite A110 Lafayette LA 70508-6928
Phone: (337) 984-1610
Fax: (337) 984-2136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 015039R Louisiana

Profile Details

NPI number 1609852474
LBN Legal business name Foreman, Michael Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Nov 5th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609852474 NPPES
Louisiana MEDICAID 1301582

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