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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1629251004 | NPPES |
| California | MEDICAID | GJ636A |
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