Forman, Nathaniel Hamilton
Forman, Nathaniel Hamilton is an individual health care provider with primary practice located at 1005 Joe Dimaggio Dr , Hollywood FL 33021-5487. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Forman, Nathaniel Hamilton can be contacted via phone (954) 265-5324.Contact Information
Primary practice address
1005 Joe Dimaggio Dr
Hollywood FL 33021-5487
Phone: (954) 265-5324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 57.03227 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35139206 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME160857 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 35139206 | Ohio |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | ME160857 | Florida |
Profile Details
| NPI number | 1629509302 |
|---|---|
| LBN Legal business name | Forman, Nathaniel Hamilton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2017 |
| Last updated | Jun 29th, 2023 - about last year |
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 | 1629509302 | NPPES |
| Ohio | MEDICAID | 0456143 |
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