Forman, Stacie J

Forman, Stacie J is an individual health care provider with primary practice located at 2624 9Th Ave S , Fargo ND 58103-2350. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Forman, Stacie J can be contacted via phone (701) 298-4500.

Contact Information

Primary practice address
2624 9Th Ave S Fargo ND 58103-2350
Fax: (701) 298-4400
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1447766878
LBN Legal business name Forman, Stacie J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2017
Last updated Dec 21st, 2017 - about 8 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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