Forsberg, Clifton Theodore
Forsberg, Clifton Theodore is an sole proprietor health care provider with primary practice located at 4626 Peach St , Erie PA 16509-2007. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Forsberg, Clifton Theodore can be contacted via phone (814) 864-0684.Contact Information
Primary practice address
4626 Peach St
Erie PA 16509-2007
Phone: (814) 864-0684
Fax: (814) 864-0685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS022897L | Pennsylvania |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 30-017451 | Ohio |
Profile Details
| NPI number | 1245390509 |
|---|---|
| LBN Legal business name | Forsberg, Clifton Theodore |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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