Forsberg, Clay Garrett

Forsberg, Clay Garrett is an sole proprietor health care provider with primary practice located at 14275 N 87Th St Suite 110, Scottsdale AZ 85260-3696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Forsberg, Clay Garrett can be contacted via phone (480) 905-8485.

Contact Information

Primary practice address
14275 N 87Th St Suite 110 Scottsdale AZ 85260-3696
Phone: (480) 905-8485
Fax: (480) 905-7274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 48754 Arizona
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X A121163 California
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 48754 Arizona

Profile Details

NPI number 1629251004
LBN Legal business name Forsberg, Clay Garrett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2007
Last updated Nov 7th, 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 1629251004 NPPES
California MEDICAID GJ636A

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