Forrest, James David

Forrest, James David is an sole proprietor health care provider with primary practice located at 747 Woody Point Dr , Murrells Inlet SC 29576-7070. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Forrest, James David can be contacted via phone (843) 359-9749.

Contact Information

Primary practice address
747 Woody Point Dr Murrells Inlet SC 29576-7070
Phone: (843) 359-9749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0010-00503 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-103958 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1775 South Carolina

Profile Details

NPI number 1154306215
LBN Legal business name Forrest, James David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated Aug 6th, 2020 - about 4 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 1154306215 NPPES
Alabama MEDICAID 051527738
Alabama Other 515-27738
Alabama Other P00240122

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