Forman, Suzanne Dee
Forman, Suzanne Dee is an sole proprietor health care provider with primary practice located at 9037 Shady Grove Court , Gaithersburg MD 20877. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Forman, Suzanne Dee can be contacted via phone (301) 938-0663.Contact Information
Primary practice address
9037 Shady Grove Court
Gaithersburg MD 20877
Phone: (301) 938-0663
Fax: (240) 654-3313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0052427 | Maryland |
Profile Details
| NPI number | 1720195159 |
|---|---|
| LBN Legal business name | Forman, Suzanne Dee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Nov 5th, 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 | 1720195159 | NPPES |
| Maryland | MEDICAID | 450712600 |
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