Forman, Walter H

Forman, Walter H is an individual health care provider with primary practice located at 733 Us Highway 1 Bldg 2B , North Palm Beach FL 33408-4513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Forman, Walter H can be contacted via phone (561) 841-8588.

Contact Information

Primary practice address
733 Us Highway 1 Bldg 2B North Palm Beach FL 33408-4513
Phone: (561) 841-8588
Fax: (561) 841-8533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME17928 Florida

Profile Details

NPI number 1497807531
LBN Legal business name Forman, Walter H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated May 24th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497807531 NPPES
Florida Other N272625 WELLCARE
Florida Other 50884 WELLCARE
Florida Other N272625 WELLCARE
Florida MEDICAID 054676300 WELLCARE
Florida Other N272625 WELLCARE
Florida Other 990105 WELLCARE
Florida Other N272625 WELLCARE
Florida Other 300060057 WELLCARE

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