Forman, Tina

Forman, Tina is an individual health care provider with primary practice located at 35425 W Michigan Ave , Wayne MI 48184-9800. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Forman, Tina can be contacted via phone (734) 467-7600.

Contact Information

Primary practice address
35425 W Michigan Ave Wayne MI 48184-9800
Phone: (734) 467-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6801072642 Michigan

Profile Details

NPI number 1750760443
LBN Legal business name Forman, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2015
Last updated May 27th, 2015 - about 9 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.

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