Forney, Joseph Wayne

Forney, Joseph Wayne is an individual health care provider with primary practice located at 7 Shackleford West Blvd , Little Rock AR 72211-3886. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Forney, Joseph Wayne can be contacted via phone (501) 614-3606.

Contact Information

Primary practice address
7 Shackleford West Blvd Little Rock AR 72211-3886
Phone: (501) 614-3606
Fax: (501) 663-5017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20770 Arizona
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E-6499 Arkansas

Profile Details

NPI number 1003887589
LBN Legal business name Forney, Joseph Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Nov 19th, 2013 - about 11 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 1003887589 NPPES
Arizona MEDICAID 123711
Arizona Other CH003
Arizona Other 00882
Arizona Other AZ0747910
Arizona Other 200691531

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