Fogelberg, Forrest June

Fogelberg, Forrest June is an sole proprietor health care provider with primary practice located at 910 Nan Ct , Santa Maria CA 93454-3151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Fogelberg, Forrest June can be contacted via phone (805) 614-4023.

Contact Information

Primary practice address
910 Nan Ct Santa Maria CA 93454-3151
Phone: (805) 614-4023
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 388276 California

Profile Details

NPI number 1639248545
LBN Legal business name Fogelberg, Forrest June
Credentials Certified Registered Nurse, First Assistant (CRNFA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 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.

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