Pomerance, Jay Forrest

Pomerance, Jay Forrest is an sole proprietor health care provider with primary practice located at 657 E Golf Rd Suite 309, Arlington Heights IL 60005-4968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Pomerance, Jay Forrest can be contacted via phone (847) 871-5770.

Contact Information

Primary practice address
657 E Golf Rd Suite 309 Arlington Heights IL 60005-4968
Fax: (847) 871-5773
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 036090131 Illinois

Profile Details

NPI number 1780641407
LBN Legal business name Pomerance, Jay Forrest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Feb 3rd, 2011 - about 13 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 1780641407 NPPES
Illinois Other 04932148 BCBS

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