Provider Demographics
NPI:1669068003
Name:FORNEY WILLIAMS, LINDA S
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:FORNEY WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 MCDANIEL CT
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2152
Mailing Address - Country:US
Mailing Address - Phone:614-871-1181
Mailing Address - Fax:
Practice Address - Street 1:543 DEER TRAIL DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6409
Practice Address - Country:US
Practice Address - Phone:614-890-0130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-20
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver