Provider Demographics
NPI:1376560730
Name:FORE YOU INC
Entity Type:Organization
Organization Name:FORE YOU INC
Other - Org Name:FRONT ROOM UNDERFASHIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLIESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-332-3294
Mailing Address - Street 1:727 LINCOLN CT STE B
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-9261
Mailing Address - Country:US
Mailing Address - Phone:517-332-3294
Mailing Address - Fax:517-332-3295
Practice Address - Street 1:727 LINCOLN CT STE B
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-9261
Practice Address - Country:US
Practice Address - Phone:517-332-3294
Practice Address - Fax:517-332-3295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP57305OtherBLUE CARE NETWORK
MI26942OtherABP ADMINISTRATORS
MI3323829Medicaid
MI8200062OtherPHP
MI540C303450OtherBCBS OF MI
MIP57305OtherBLUE CARE NETWORK