Forman, Mary Schultz

Forman, Mary Schultz is an individual health care provider with primary practice located at 415 Main St , West Haven CT 06516-4296. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Forman, Mary Schultz can be contacted via phone (203) 931-1184.

Contact Information

Primary practice address
415 Main St West Haven CT 06516-4296
Phone: (203) 931-1184
Fax: (203) 931-0063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 004082 Connecticut

Profile Details

NPI number 1164868030
LBN Legal business name Forman, Mary Schultz
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2013
Last updated May 17th, 2013 - about 12 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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