Forsberg, Jonathan Agner
Forsberg, Jonathan Agner is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Forsberg, Jonathan Agner can be contacted via phone (410) 955-5000.Contact Information
Primary practice address
600 N Wolfe St
Baltimore MD 21287-0005
Phone: (410) 955-5000
Fax: (301) 295-4141
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | C164795 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D0059197 | Maryland |
Profile Details
NPI number | 1154319739 |
---|---|
LBN Legal business name | Forsberg, Jonathan Agner |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 8th, 2005 |
Last updated | Sep 29th, 2022 - about 2 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 | 1154319739 | NPPES |
Maryland | Other | D59197 | MD LICENSE |
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