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Contact Information

CHRISTOPHER B FORMANEK, DPM
6141 PARKFOREST DR
BATON ROUGE, LA70816-6111
 Phone: 225-756-0034
 Fax: 225-756-0708
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHRISTOPHER B FORMANEK · (Male)

NPI # 1639146749
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/07/2006
Last updated 06/07/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # PD321R
Hospital affiliation(s)
  • OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER - (Acute Care)
    5000 HENNESSY BLVD
    BATON ROUGE, LA 70808
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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