Debauw, Forrest

Debauw, Forrest is an individual health care provider with primary practice located at 1401 S Seward Meridian Pkwy Ste Abc , Wasilla AK 99654-8312. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is her primary health care specialty. Debauw, Forrest can be contacted via phone (907) 631-3520.

Contact Information

Primary practice address
1401 S Seward Meridian Pkwy Ste Abc Wasilla AK 99654-8312
Phone: (907) 631-3520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1629714886
LBN Legal business name Debauw, Forrest
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2022
Last updated May 10th, 2022 - about 2 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.

Request for update

Popular Providers