F O R M E Medical & Rehab Center of Fremont, INC

NPI #1629257019 in Fremont, Ohio

Provider Information

NPI Number: 1629257019
Entity Type: Organization
Organization Name: F O R M E Medical & Rehab Center of Fremont, INC
Primary Specialty: Chiropractor
Enumeration Date: Nov 1, 2007
Last Updated: Nov 22, 2010

Practice Location

Address: 728 N STONE ST
City: Fremont
State: Ohio
ZIP Code: 43420-1535
Phone: (419) 334-7600

Authorized Official

Name: DR. PAUL LYNN SILCOX, D.C.
Title: OWNER/PRESIDENT
Phone: (419) 334-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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