Forman, Jeffrey S.
Forman, Jeffrey S. is an sole proprietor health care provider with primary practice located at 1233 Haddonfield-Berlin Rd. Unit 5, Voorhees NJ 08043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Forman, Jeffrey S. can be contacted via phone (856) 767-7800.Contact Information
Primary practice address
1233 Haddonfield-Berlin Rd. Unit 5
Voorhees NJ 08043
Phone: (856) 767-7800
Fax: (856) 767-7833
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA05362500 | New Jersey |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MA053625 | New Jersey |
Profile Details
NPI number | 1427056050 |
---|---|
LBN Legal business name | Forman, Jeffrey S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 8th, 2005 |
Last updated | Oct 30th, 2020 - about 4 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 | 1427056050 | NPPES |
Other | 942683 | UNITED HEALTHCARE | |
Other | 01000291200 | UNITED HEALTHCARE | |
Other | 577563 | UNITED HEALTHCARE | |
Other | 0116068 | UNITED HEALTHCARE | |
Other | 2323931000 | UNITED HEALTHCARE | |
Other | JS197 | UNITED HEALTHCARE | |
Other | 0669592003 | UNITED HEALTHCARE | |
MEDICAID | 5487102 | UNITED HEALTHCARE | |
Other | F12106 | UNITED HEALTHCARE |
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