Conshohocken Family Practice

LBN: Fornance Physician Services, Inc
Conshohocken Family Practice is an health care organization with primary practice located at 612 Fayette St 2Nd Floor, Conshohocken PA 19428-1797. 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 (610) 828-8500, or through Burnettrobins, Vera via phone (484) 622-7391.

Contact Information

Primary practice address
612 Fayette St 2Nd Floor Conshohocken PA 19428-1797
Fax: (610) 828-9736
Website:
Authorized official contact:
Name: Burnettrobins, Vera

Health care specialties

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

Profile Details

NPI number 1437104296
LBN Legal business name Fornance Physician Services, Inc
DBA Doing business as Conshohocken Family Practice
Authorized official Burnettrobins, Vera
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 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 1437104296 NPPES
Pennsylvania Other 0565797001 AMERICHOICE/INTERCOUNTY
Pennsylvania Other CC5657 AMERICHOICE/INTERCOUNTY
Pennsylvania Other 000059 AMERICHOICE/INTERCOUNTY
Pennsylvania Other 05657970001 AMERICHOICE/INTERCOUNTY
Pennsylvania Other 1021702 AMERICHOICE/INTERCOUNTY
Pennsylvania Other 17213 AMERICHOICE/INTERCOUNTY
Pennsylvania Other 0282527 AMERICHOICE/INTERCOUNTY
Pennsylvania Other 4439611 AMERICHOICE/INTERCOUNTY
Pennsylvania Other 727928 AMERICHOICE/INTERCOUNTY

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