Forrestal, Kerry Andrew

Forrestal, Kerry Andrew is an individual health care provider with primary practice located at 730 W Market St , Lima OH 45801-4602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Forrestal, Kerry Andrew can be contacted via phone (419) 227-3361.

Contact Information

Primary practice address
730 W Market St Lima OH 45801-4602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35084915 Ohio

Profile Details

NPI number 1215981220
LBN Legal business name Forrestal, Kerry Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Oct 17th, 2007 - about 17 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 1215981220 NPPES
Ohio MEDICAID 2535939
Ohio Other 000000339136
Ohio Other 000000339136

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