Fornoff, Robert Adam

Fornoff, Robert Adam is an sole proprietor health care provider with primary practice located at 2301 Beaver Ave , Des Moines IA 50310-3903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fornoff, Robert Adam can be contacted via phone (515) 255-3181.

Contact Information

Primary practice address
2301 Beaver Ave Des Moines IA 50310-3903
Phone: (515) 255-3181
Fax: (515) 255-9392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35011 Iowa

Profile Details

NPI number 1902877707
LBN Legal business name Fornoff, Robert Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Oct 14th, 2020 - about 4 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 1902877707 NPPES
Iowa Other 20764 BCBS-EAST
Iowa Other 20794 BCBS-EAST
Iowa MEDICAID 0431916 BCBS-EAST

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