Forrest, Catherine Randell
Forrest, Catherine Randell is an sole proprietor health care provider with primary practice located at 4490 Birchwood Ct , Muskegon MI 49441-4804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Forrest, Catherine Randell can be contacted via phone (231) 799-2323.Contact Information
Primary practice address
4490 Birchwood Ct
Muskegon MI 49441-4804
Phone: (231) 799-2323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301009970 | Michigan |
Profile Details
| NPI number | 1790835890 |
|---|---|
| LBN Legal business name | Forrest, Catherine Randell |
| Credentials | M.A., L.L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1790835890 | NPPES |
| Michigan | Other | 6301009970 | LICENSE |
| Michigan | Other | 0000019231 | LICENSE |
| Michigan | Other | 507110 | LICENSE |
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