Individual
JONATHAN ROBERT FORQUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2405 N COLUMBUS ST, SUITE 100, LANCASTER, OH 43130-8185
(740) 689-4480
(740) 277-7692
Mailing address
1153 E MAIN ST, PO BOX 2563, LANCASTER, OH 43130-4056
(740) 687-8990
(740) 687-8230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34-010160
OH
207RC0000X
Cardiovascular Disease Physician
Primary
34010160
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065345
—
OH
Enumeration date
08/10/2009
Last updated
10/05/2016
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