Forman, Danielle Jacqueline

Forman, Danielle Jacqueline is an individual health care provider with primary practice located at 446 Morgan St , Cincinnati OH 45206. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Forman, Danielle Jacqueline can be contacted via phone (513) 834-7063.

Contact Information

Primary practice address
446 Morgan St Cincinnati OH 45206
Phone: (513) 834-7063
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X RN.320640 Ohio

Profile Details

NPI number 1992203418
LBN Legal business name Forman, Danielle Jacqueline
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2018
Last updated Jul 2nd, 2018 - about 6 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 1992203418 NPPES
Ohio MEDICAID 0260430

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