Forman, Franklin W

Forman, Franklin W is an individual health care provider with primary practice located at 1600 N Main St , Wheaton IL 60189-3145. He recently has only one registered license in Chiropractic Providers / Occupational Health, which is considered as his primary health care specialty. Forman, Franklin W can be contacted via phone (630) 510-7774.

Contact Information

Primary practice address
1600 N Main St Wheaton IL 60189-3145
Phone: (630) 510-7774
Fax: (630) 604-0099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Occupational Health 111NX0100X 038-003478 Illinois

Profile Details

NPI number 1548351216
LBN Legal business name Forman, Franklin W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 22nd, 2012 - about 12 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 1548351216 NPPES
Illinois Other 2290080 BC/BS ID NUMBER
Illinois Other L31895 BC/BS ID NUMBER

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