Provider Demographics
NPI:1750121869
Name:FORJI, FORGYI
Entity type:Individual
Prefix:
First Name:FORGYI
Middle Name:
Last Name:FORJI
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 1:323 SANDBURG DR
Mailing Address - Street 2:
Mailing Address - City:LITHOPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:43136-7524
Mailing Address - Country:US
Mailing Address - Phone:763-218-8947
Mailing Address - Fax:
Practice Address - Street 1:323 SANDBURG DR
Practice Address - Street 2:
Practice Address - City:LITHOPOLIS
Practice Address - State:OH
Practice Address - Zip Code:43136-7524
Practice Address - Country:US
Practice Address - Phone:763-218-8947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide