Forwand, Jodi M

Forwand, Jodi M is an individual health care provider with primary practice located at 75 Beekman St , Plattsburgh NY 12901-1438. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Forwand, Jodi M can be contacted via phone (518) 562-7900.

Contact Information

Primary practice address
75 Beekman St Plattsburgh NY 12901-1438
Fax: (518) 562-7933
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21863001 New York

Profile Details

NPI number 1477604684
LBN Legal business name Forwand, Jodi M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jul 8th, 2007 - about 17 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 1477604684 NPPES
New York MEDICAID 02242657

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