Provider Demographics
NPI:1730782913
Name:FROMAN, VIRGINIA LOU
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:LOU
Last Name:FROMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BEATRICE ST
Mailing Address - Street 2:
Mailing Address - City:WEST PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45663-8921
Mailing Address - Country:US
Mailing Address - Phone:740-858-2441
Mailing Address - Fax:
Practice Address - Street 1:40 BEATRICE ST
Practice Address - Street 2:
Practice Address - City:WEST PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45663-8921
Practice Address - Country:US
Practice Address - Phone:740-858-2441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care