Forrest, Michael

Forrest, Michael is an sole proprietor health care provider with primary practice located at 107 N 34Th St , Rogers AR 72756-0304. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Forrest, Michael can be contacted via phone (479) 631-2658.

Contact Information

Primary practice address
107 N 34Th St Rogers AR 72756-0304
Phone: (479) 631-2658
Fax: (479) 631-8052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P8009090 Arkansas

Profile Details

NPI number 1518964501
LBN Legal business name Forrest, Michael
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Oct 19th, 2010 - about 14 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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