Forester, Mary A
Forester, Mary A is an individual health care provider with primary practice located at 9601 Townline Rd Marshfield Clinic, Minocqua WI 54548-9099. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Forester, Mary A can be contacted via phone (715) 358-1000.Contact Information
Primary practice address
9601 Townline Rd Marshfield Clinic
Minocqua WI 54548-9099
Phone: (715) 358-1000
Fax: (715) 358-1331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 40540-021 | Wisconsin |
Profile Details
| NPI number | 1376584987 |
|---|---|
| LBN Legal business name | Forester, Mary A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Oct 12th, 2011 - about 14 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 | 1376584987 | NPPES |
| Wisconsin | MEDICAID | 30088400 |
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