ERIC DEAN FORMAN D.C. NPI 1265460570

NPI Information

NPI: 1265460570
Provider Name: ERIC DEAN FORMAN, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
404 N GALENA AVE
DIXON, IL
ZIP 61021
Phone: (815) 288-6683
Get Directions

Eric Dean Forman, D.C. is a chiropractor in Dixon, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Eric Dean Forman, D.C. NPI is 1265460570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

404 N GALENA AVE
DIXON, IL
ZIP 61021-115
Phone: (815) 288-6683
Fax: (815) 288-4892

The enumeration date for this NPI number is 6/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor			ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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