Forestiere, Lee A
Forestiere, Lee A is an sole proprietor health care provider with primary practice located at 1609 W 40Th Ave Ste 403, Pine Bluff AR 71603-6329. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Forestiere, Lee A can be contacted via phone (870) 534-4188.Contact Information
Primary practice address
1609 W 40Th Ave Ste 403
Pine Bluff AR 71603-6329
Phone: (870) 534-4188
Fax: (870) 534-7964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C4813 | Arkansas |
Profile Details
| NPI number | 1447216270 |
|---|---|
| LBN Legal business name | Forestiere, Lee A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Mar 29th, 2016 - about 9 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 | 1447216270 | NPPES |
| Arkansas | MEDICAID | 103036001 |
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