Forberg, Richard A
Forberg, Richard A is an individual health care provider with primary practice located at 16 Adams Ln , Hainesport NJ 08036-2600. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Forberg, Richard A can be contacted via phone (609) 914-1700.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 530134 | New Jersey |
Profile Details
| NPI number | 1326341207 |
|---|---|
| LBN Legal business name | Forberg, Richard A |
| Credentials | EMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2010 |
| Last updated | Dec 14th, 2010 - 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 | 1326341207 | NPPES |
| New Jersey | Other | 530134 | NJ DEPT OF HEALTH & SENIOR SERVICES |
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