Forman, Alisa

Forman, Alisa is an individual health care provider with primary practice located at 15 Hendrickson Ct , Manalapan NJ 07726-7900. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Forman, Alisa can be contacted via phone (732) 456-3399.

Contact Information

Primary practice address
15 Hendrickson Ct Manalapan NJ 07726-7900
Phone: (732) 456-3399
Fax: (732) 414-1825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X New Jersey

Profile Details

NPI number 1427721836
LBN Legal business name Forman, Alisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2021
Last updated Jul 30th, 2021 - about 3 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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