National Provider Identifier Database

WALTER B FORMAN, MD – NPI #1417964453
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

WALTER B FORMAN, MD
8210 LOUISIANA BLVD. NE
SUITE C
ALBUQUERQUE, NM87113-1761
Phone: 505-858-1222
Fax: 505-858-1224
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for WALTER B FORMAN

NPI Number 1417964453
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 11/21/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 88-168
  • NM Medicaid: 00006817
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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