Provider Demographics
NPI:1972073922
Name:NUMFOR, JOSEPH MFORBI
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:MFORBI
Last Name:NUMFOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 RITTENHOUSE ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1213
Mailing Address - Country:US
Mailing Address - Phone:919-349-4342
Mailing Address - Fax:
Practice Address - Street 1:715 RITTENHOUSE ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1213
Practice Address - Country:US
Practice Address - Phone:919-349-4342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13853374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide