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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902877707 | NPPES |
| Iowa | Other | 20764 | BCBS-EAST |
| Iowa | Other | 20794 | BCBS-EAST |
| Iowa | MEDICAID | 0431916 | BCBS-EAST |
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