De Forrest, Michael Jude
De Forrest, Michael Jude is an individual health care provider with primary practice located at 105 N Fulton St , Auburn NY 13021. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. De Forrest, Michael Jude can be contacted via phone (315) 253-2962.Contact Information
Primary practice address
105 N Fulton St
Auburn NY 13021
Phone: (315) 253-2962
Fax: (315) 258-0017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X0020751 | New York |
Profile Details
| NPI number | 1497836795 |
|---|---|
| LBN Legal business name | De Forrest, Michael Jude |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1497836795 | NPPES |
| New York | Other | 224464 | WORKERS COMP |
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