Forsberg, Janice Cecilia

Forsberg, Janice Cecilia is an individual health care provider with primary practice located at Clayton Avenue Elementary School 209 Clayton Avenue, Vestal NY 13850. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Forsberg, Janice Cecilia can be contacted via phone (607) 757-2274.

Contact Information

Primary practice address
Clayton Avenue Elementary School 209 Clayton Avenue Vestal NY 13850
Fax: (607) 757-2372
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 297546-1 New York

Profile Details

NPI number 1770144511
LBN Legal business name Forsberg, Janice Cecilia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2019
Last updated Jun 24th, 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 1770144511 NPPES
New York MEDICAID 6077489473

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