Forrester, Clara Sue
Forrester, Clara Sue is an individual health care provider with primary practice located at 4405 River Oaks Blvd , Fort Worth TX 76114-2326. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Forrester, Clara Sue can be contacted via phone (817) 624-1770.Contact Information
Primary practice address
4405 River Oaks Blvd
Fort Worth TX 76114-2326
Phone: (817) 624-1770
Fax: (817) 625-1287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 531980 | Texas |
Profile Details
| NPI number | 1649258633 |
|---|---|
| LBN Legal business name | Forrester, Clara Sue |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Apr 4th, 2012 - about 13 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 | 1649258633 | NPPES |
| Texas | Other | 137345810 | CSHCN GROUP |
| Texas | MEDICAID | 062616004 | CSHCN GROUP |
| Texas | Other | 062616005 | CSHCN GROUP |
| Texas | Other | 00U87Z | CSHCN GROUP |
| Texas | Other | 140442852 | CSHCN GROUP |
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