Closson, Forrest T
Closson, Forrest T is an individual health care provider with primary practice located at 650 W Lombard St , Baltimore MD 21201-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Closson, Forrest T can be contacted via phone (410) 328-2079.Contact Information
Primary practice address
650 W Lombard St
Baltimore MD 21201-1513
Phone: (410) 328-2079
Fax: (410) 328-0987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | D57752 | Maryland |
Profile Details
| NPI number | 1164462552 |
|---|---|
| LBN Legal business name | Closson, Forrest T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 10th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164462552 | NPPES |
| Maryland | MEDICAID | 769802000 |
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