Broad Axe Family Medicine

LBN: Fornance Physician Services, Inc
Broad Axe Family Medicine is an health care organization with primary practice located at 721 Skippack Pike Suite 3, Blue Bell PA 19422-1700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fornance Physician Services, Inc can be contacted via phone (215) 793-0600, or through Burnett-Robins, Vera via phone (484) 622-7391.

Contact Information

Primary practice address
721 Skippack Pike Suite 3 Blue Bell PA 19422-1700
Phone: (215) 793-0600
Fax: (610) 793-0759
Website:
Map and Directions
Authorized official contact:
Name: Burnett-Robins, Vera
Phone: (484) 622-7391

Health care specialties

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

Profile Details

NPI number 1184678666
LBN Legal business name Fornance Physician Services, Inc
DBA Doing business as Broad Axe Family Medicine
Authorized official Burnett-Robins, Vera
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Nov 15th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184678666 NPPES
Pennsylvania Other 259541 HIGHMARK BLUE SHIELD
Pennsylvania Other 2120908 HIGHMARK BLUE SHIELD
Pennsylvania Other 0274457001 HIGHMARK BLUE SHIELD
Pennsylvania Other 33022 HIGHMARK BLUE SHIELD
Pennsylvania Other 085595 HIGHMARK BLUE SHIELD
Pennsylvania Other 1065049 HIGHMARK BLUE SHIELD
Pennsylvania Other 5389597 HIGHMARK BLUE SHIELD
Pennsylvania Other 0274457001 HIGHMARK BLUE SHIELD
Pennsylvania Other 7990725 HIGHMARK BLUE SHIELD
Pennsylvania Other CI5397 HIGHMARK BLUE SHIELD

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