Forge, Richard Joseph

Forge, Richard Joseph is an individual health care provider with primary practice located at 4101 S 4Th St Att.: Richard Forge, Leavenworth KS 66048-5014. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Forge, Richard Joseph can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th St Att.: Richard Forge Leavenworth KS 66048-5014
Fax: (913) 758-4219
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0434 Kansas

Profile Details

NPI number 1558319905
LBN Legal business name Forge, Richard Joseph
Credentials SOCIAL WORKER
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1558319905 NPPES
Kansas Other 0434 LSCSW

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