Forman, Jonathan
Forman, Jonathan is an individual health care provider with primary practice located at 7711 Quarterfield Rd Suite A, Glen Burnie MD 21061-4492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Forman, Jonathan can be contacted via phone (410) 761-5600.Contact Information
Primary practice address
7711 Quarterfield Rd Suite A
Glen Burnie MD 21061-4492
Phone: (410) 761-5600
Fax: (410) 761-5734
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0023811 | Maryland |
Profile Details
NPI number | 1861493926 |
---|---|
LBN Legal business name | Forman, Jonathan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2005 |
Last updated | Jan 24th, 2011 - about 14 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 | 1861493926 | NPPES |
Maryland | Other | 015650 | JHHC PROVIDER NUMBER |
Maryland | Other | 350121-03 | JHHC PROVIDER NUMBER |
Maryland | Other | 7605-0008 | JHHC PROVIDER NUMBER |
Maryland | Other | 8162106 | JHHC PROVIDER NUMBER |
Maryland | Other | 0696514 | JHHC PROVIDER NUMBER |
Maryland | Other | 80089724 | JHHC PROVIDER NUMBER |
Maryland | Other | P12535 | JHHC PROVIDER NUMBER |
Maryland | Other | 2162106 | JHHC PROVIDER NUMBER |
Maryland | Other | 4304227 | JHHC PROVIDER NUMBER |
Maryland | Other | 1275295 | JHHC PROVIDER NUMBER |
Maryland | MEDICAID | 766371400 | JHHC PROVIDER NUMBER |
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