Foreman, William

Foreman, William is an individual health care provider with primary practice located at 2242 W. Estaught St. , Phila PA 19140. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Foreman, William can be contacted via phone (267) 257-4844.

Contact Information

Primary practice address
2242 W. Estaught St. Phila PA 19140
Phone: (267) 257-4844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 47-1834185 Pennsylvania

Profile Details

NPI number 1073915278
LBN Legal business name Foreman, William
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Oct 10th, 2014 - about 10 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 1073915278 NPPES
Pennsylvania MEDICAID 1073915278

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