Forrester, Renee Kay-Dawn

Forrester, Renee Kay-Dawn is an sole proprietor health care provider with primary practice located at 7703 New Second St , Elkins Park PA 19027-3513. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Forrester, Renee Kay-Dawn can be contacted via phone (215) 848-4104.

Contact Information

Primary practice address
7703 New Second St Elkins Park PA 19027-3513
Fax: (215) 782-8004
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC006280 Pennsylvania

Profile Details

NPI number 1912280181
LBN Legal business name Forrester, Renee Kay-Dawn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2011
Last updated Sep 4th, 2019 - about 5 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 1912280181 NPPES
Pennsylvania Other SC006280 STATE LICENCE

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