Forman, Christopher W

Forman, Christopher W is an individual health care provider with primary practice located at 2874 N Carson St Suite 200, Carson City NV 89706-0251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Forman, Christopher W can be contacted via phone (775) 445-7170.

Contact Information

Primary practice address
2874 N Carson St Suite 200 Carson City NV 89706-0251
Fax: (775) 883-0959
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5528 Nevada

Profile Details

NPI number 1235285644
LBN Legal business name Forman, Christopher W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Sep 18th, 2014 - about 11 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 1235285644 NPPES
Nevada MEDICAID 002013125
Nevada Other 110224130
Nevada Other NV0117

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