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Organization
F O R M E MEDICAL & REHAB CENTER OF FREMONT, INC
Active
Organization
F O R M E MEDICAL & REHAB CENTER OF FREMONT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL LYNN SILCOX D.C. (OWNER/PRESIDENT)
(419) 334-7600
Entity
Organization
Contact information
Practice address
728 N STONE ST, FREMONT, OH 43420-1535
(419) 334-7600
(419) 334-7640
Mailing address
728 N STONE ST, FREMONT, OH 43420-1535
(419) 334-7600
(419) 334-7640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2511660
—
OH
01
—
350022051
MEDICARE RAIL ROAD
OH
Enumeration date
11/01/2007
Last updated
11/22/2010
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