Forrestal, James
Forrestal, James is an sole proprietor health care provider with primary practice located at 830 16Th Ave Nw , Ardmore OK 73401-1818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Forrestal, James can be contacted via phone (580) 226-5120.Contact Information
Primary practice address
830 16Th Ave Nw
Ardmore OK 73401-1818
Phone: (580) 226-5120
Fax: (580) 223-1003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2309 | Oklahoma |
Profile Details
| NPI number | 1285611160 |
|---|---|
| LBN Legal business name | Forrestal, James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | May 14th, 2014 - about 12 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 | 1285611160 | NPPES |
| Oklahoma | MEDICAID | 100117700 |
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