Fornadel, Brian J

Fornadel, Brian J is an sole proprietor health care provider with primary practice located at 6201 Gender Rd , Canal Winchester OH 43110-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fornadel, Brian J can be contacted via phone (614) 834-8042.

Contact Information

Primary practice address
6201 Gender Rd Canal Winchester OH 43110-2007
Phone: (614) 834-8042
Fax: (614) 837-8035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.073388 Ohio

Profile Details

NPI number 1194780981
LBN Legal business name Fornadel, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Jul 21st, 2022 - about 2 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 1194780981 NPPES
Ohio Other 0842093 MEDICAID GROUP
Ohio MEDICAID 2145093 MEDICAID GROUP
Ohio Other H177271 MEDICAID GROUP
Ohio Other 1942630348 MEDICAID GROUP
Ohio Other 99347423 MEDICAID GROUP
Ohio Other H177270 MEDICAID GROUP

Popular Providers