Forage, John William

Forage, John William is an individual health care provider with primary practice located at 1600 Wallace Blvd , Amarillo TX 79106-1799. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Forage, John William can be contacted via phone (806) 212-2129.

Contact Information

Primary practice address
1600 Wallace Blvd Amarillo TX 79106-1799
Fax: (806) 212-6278
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q5186 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X Q5186 Texas

Profile Details

NPI number 1942270038
LBN Legal business name Forage, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 18th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942270038 NPPES
Texas MEDICAID 348221801

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