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General NPI Number Information
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NPI Number | 1427098979
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Entity Type | Individual
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Provider Name | JAMES M FORDE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 825 E LINCOLNWAY
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City | VALPARAISO
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State | IN
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Zip | 46383-5803
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Country | US
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Telephone | 219-464-4891
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Fax | 219-464-1873
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Provider Business Mailing Address
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Address Line | 825 E LINCOLNWAY
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City | VALPARAISO
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State | IN
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Zip | 46383-5803
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Country | US
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Telephone | 219-464-4891
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Fax | 219-464-1873
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 01041195A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01041195A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 45535020
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | IL
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