1316974199 NPI number — DR. FRANCIS J FORNO JR. D.O.

Table of content: DR. FRANCIS J FORNO JR. D.O. (NPI 1316974199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316974199 NPI number — DR. FRANCIS J FORNO JR. D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FORNO
Provider First Name:
FRANCIS
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316974199
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/04/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
172 MOUNT PLEASANT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWTOWN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06470-1443
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-364-1936
Provider Business Mailing Address Fax Number:
203-364-0839

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
172 MOUNT PLEASANT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWTOWN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06470-1443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-364-1936
Provider Business Practice Location Address Fax Number:
203-364-0839
Provider Enumeration Date:
06/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  000495 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 55-0797587 . This is a "NEHCA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 877-225-0030 . This is a "EMPIRE B.C." identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 040000495CT01 . This is a "ANTHEM B.C. & B.S." identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 219791 . This is a "PREFERRED ONE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 2V2856 . This is a "HEALTHNET" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 2V2856 . This is a "PHS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 550797587 . This is a "HEALTH CONNECTICUT" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 550797587 . This is a "WAUSAU" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: P2800785 . This is a "OXFORD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 1875943 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 219791 . This is a "WELLCARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 001004952 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 049500 . This is a "CONNECTICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 2989860 . This is a "AETNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 550797587 . This is a "CELTIC" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 5097665 . This is a "AETNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 550797587 . This is a "PHCS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 7006208005 . This is a "CIGNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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