FORWARD MEDICAL WEIGHT LOSS LLC


Address: N112w15568 Mequon Rd # 6, Germantown, WI 53022-3413
Phone: 2623138375

FORWARD MEDICAL WEIGHT LOSS LLC (NPI# 1114356029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114356029
Entity Type Organization
Organization Name FORWARD MEDICAL WEIGHT LOSS LLC
Practice Address N112w15568 Mequon Rd # 6
Germantown
WI 53022-3413
Practice Telephone 2623138375
Practice Fax Number 2622551482
Mailing Telephone 2623138375
Mailing Fax Number 2622551482
Enumeration Date 2013-11-01
Last Update Date 2013-11-01
Authorized Official Name LINDSAY ANN CARMODY (APNP)
Authorized Official Telephone 4143506807
Authorized Official Credential APNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
3690-033 WI Ambulatory Health Care Facilities

Office Location

Street Address N112W15568 MEQUON RD # 6
City GERMANTOWN
State WI
Zip Code 53022-3413

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City GERMANTOWN
Zip Code 53022

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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