Provider Demographics
NPI:1881445138
Name:FORWARD HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:FORWARD HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:201-788-7736
Mailing Address - Street 1:7 VAN EYCK CT
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-2714
Mailing Address - Country:US
Mailing Address - Phone:201-788-7736
Mailing Address - Fax:
Practice Address - Street 1:7 VAN EYCK CT
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-2714
Practice Address - Country:US
Practice Address - Phone:201-788-7736
Practice Address - Fax:434-423-4466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty