Forman, Michael A
Forman, Michael A is an individual health care provider with primary practice located at 3545 Olentangy Rvr Rd Suite 214, Columbus OH 43214-3907. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Forman, Michael A can be contacted via phone (614) 263-5908.Contact Information
Primary practice address
3545 Olentangy Rvr Rd Suite 214
Columbus OH 43214-3907
Phone: (614) 263-5908
Fax: (614) 263-5941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2928 | Ohio |
Profile Details
| NPI number | 1194726133 |
|---|---|
| LBN Legal business name | Forman, Michael A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Oct 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194726133 | NPPES |
| Ohio | MEDICAID | 0426686 |
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