Forman, Bruce David
Forman, Bruce David is an sole proprietor health care provider with primary practice located at 1655 N Commerce Pkwy Suite 301, Weston FL 33326-3276. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Forman, Bruce David can be contacted via phone (954) 384-2154.Contact Information
Primary practice address
1655 N Commerce Pkwy Suite 301
Weston FL 33326-3276
Phone: (954) 384-2154
Fax: (954) 384-7716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY 3471 | Florida |
Profile Details
| NPI number | 1417961681 |
|---|---|
| LBN Legal business name | Forman, Bruce David |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jun 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417961681 | NPPES |
| Other | 59-2834938 | FTIN |
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