Forke, Jacob Paul

Forke, Jacob Paul is an individual health care provider with primary practice located at 406 1St Ave S , Lewistown MT 59457-3020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Forke, Jacob Paul can be contacted via phone (406) 535-6545.

Contact Information

Primary practice address
406 1St Ave S Lewistown MT 59457-3020
Phone: (406) 535-6545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25924 Montana

Profile Details

NPI number 1902127756
LBN Legal business name Forke, Jacob Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2010
Last updated Apr 5th, 2016 - about 10 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 1902127756 NPPES
Montana MEDICAID 1902127756
Montana Other 924810

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