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
Phone: (847) 871-5770
Fax: (847) 871-5773
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780641407 | NPPES |
Illinois | Other | 04932148 | BCBS |
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