Forgie, Roan Emanuel

Forgie, Roan Emanuel is an individual health care provider with primary practice located at 3065 Daniels Rd # 1077 , Winter Garden FL 34787-7002. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Forgie, Roan Emanuel can be contacted via phone (646) 591-4970.

Contact Information

Primary practice address
3065 Daniels Rd # 1077 Winter Garden FL 34787-7002
Phone: (646) 591-4970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 273030 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F403033 New York

Profile Details

NPI number 1578744314
LBN Legal business name Forgie, Roan Emanuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2007
Last updated Mar 23rd, 2022 - about 3 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 1578744314 NPPES
New York MEDICAID 02907775

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