Forgang, Mark Allen
Forgang, Mark Allen is an sole proprietor health care provider with primary practice located at 3317 Sunset Ave , Ocean NJ 07712-4554. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Forgang, Mark Allen can be contacted via phone (732) 775-3600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RS00371900 | New Jersey |
Profile Details
| NPI number | 1619084506 |
|---|---|
| LBN Legal business name | Forgang, Mark Allen |
| Credentials | R.P |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1619084506 | NPPES |
| New Jersey | MEDICAID | 4367502 |
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