Forman, Scott Ian

Forman, Scott Ian is an individual health care provider with primary practice located at 8200 Henry Ave Suite G-1, Philadelphia PA 19128-2984. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Forman, Scott Ian can be contacted via phone (215) 482-2336.

Contact Information

Primary practice address
8200 Henry Ave Suite G-1 Philadelphia PA 19128-2984
Phone: (215) 482-2336
Fax: (215) 483-4389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS012386 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 05012386 Pennsylvania

Profile Details

NPI number 1366442402
LBN Legal business name Forman, Scott Ian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jan 30th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366442402 NPPES
Pennsylvania MEDICAID 101139948000
Pennsylvania Other 1623935

Popular Providers