Forrest, Thomas Raleigh

Forrest, Thomas Raleigh is an sole proprietor health care provider with primary practice located at 102 W 32Nd St , Lumberton NC 28358-2925. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Forrest, Thomas Raleigh can be contacted via phone (910) 738-7710.

Contact Information

Primary practice address
102 W 32Nd St Lumberton NC 28358-2925
Phone: (910) 738-7710
Fax: (910) 738-7749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X NC2827 North Carolina

Profile Details

NPI number 1417026774
LBN Legal business name Forrest, Thomas Raleigh
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated May 4th, 2022 - about 2 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 1417026774 NPPES
North Carolina Other 618544 ACN
North Carolina MEDICAID 890843U ACN
North Carolina Other 0843U ACN
North Carolina Other B1429 ACN

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