Forde, Vinnette Theresa
Forde, Vinnette Theresa is an individual health care provider with primary practice located at 200 E Chestnut St Apt 1516 , Chicago IL 60611-2328. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Forde, Vinnette Theresa can be contacted via phone (859) 221-0275.Contact Information
Primary practice address
200 E Chestnut St Apt 1516
Chicago IL 60611-2328
Phone: (859) 221-0275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36273 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036163633 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 36273 | Kentucky |
Profile Details
| NPI number | 1033174164 |
|---|---|
| LBN Legal business name | Forde, Vinnette Theresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | May 17th, 2024 - about 2 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 | 1033174164 | NPPES |
| Kentucky | MEDICAID | 64026156 |
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