Forche, Jason M
Forche, Jason M is an sole proprietor health care provider with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Forche, Jason M can be contacted via phone (803) 791-2000.Contact Information
Primary practice address
2720 Sunset Blvd
West Columbia SC 29169-4810
Phone: (803) 791-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN186608 | Georgia |
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 100095 | South Carolina |
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 1-110620 | Alabama |
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN186608 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN186608 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 18257 | South Carolina |
Profile Details
| NPI number | 1548495658 |
|---|---|
| LBN Legal business name | Forche, Jason M |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2009 |
| Last updated | Oct 27th, 2020 - about 5 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 | 1548495658 | NPPES |
| Georgia | MEDICAID | 341835812A |
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