Douglas Lee Forman is a Specialist in Burke, Virginia. Douglas Lee Forman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Douglas Lee Forman is 1013955236. The last update date is 2007-11-16.
Douglas Lee Forman's current location address is 6035 Burke Centre Pkwy, Burke, Virginia. You can contact this provider via phone number 7033275316. The mailing address for Douglas Lee Forman is 6035 Burke Centre Pkwy, Burke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Lee Forman |
|---|---|
| Address | 6035 Burke Centre Pkwy, Burke, Virginia |
| Phone Number | 7033275316 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013955236 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 6035 Burke Centre Pkwy |
|---|---|
| City | Burke |
| State | Virginia (VA) |
| Post Code | 220153750 |
| Phone Number | 7033275316 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | D0052044 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Douglas Lee Forman by the Centers for Medicare & Medicaid Services?
The Douglas Lee Forman has been assigned the NPI (National Provider Identifier) 1013955236. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Douglas Lee Forman's physical address?
The Douglas Lee Forman is physically located at 6035 Burke Centre Pkwy, in the city of Burke, VA, with the postal code 220153750.
What is the Douglas Lee Forman's specialty and taxonomy code?
The Douglas Lee Forman's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013955236 to Douglas Lee Forman?
The Centers for Medicare & Medicaid Services assigned the 1013955236 to Douglas Lee Forman on 2006-06-02.
When was the information related to Douglas Lee Forman most recently updated or refreshed?
The details pertaining to the Douglas Lee Forman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-16.
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