Foreman, Richard
Foreman, Richard is an sole proprietor health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Foreman, Richard can be contacted via phone (937) 395-6665.Contact Information
Primary practice address
3535 Southern Blvd
Kettering OH 45429-1221
Phone: (937) 395-6665
Fax: (937) 522-9260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | COA18027NP | Ohio |
Profile Details
| NPI number | 1033586680 |
|---|---|
| LBN Legal business name | Foreman, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2015 |
| Last updated | Oct 27th, 2015 - about 9 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 | 1033586680 | NPPES |
| Ohio | MEDICAID | 0143569 |
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