Forsberg, Ronald W
Forsberg, Ronald W is an sole proprietor health care provider with primary practice located at 2005 Pine St , Sandpoint ID 83864-9327. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Forsberg, Ronald W can be contacted via phone (208) 265-4115.Contact Information
Primary practice address
2005 Pine St
Sandpoint ID 83864-9327
Phone: (208) 265-4115
Fax: (208) 265-2365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D1746 | Idaho |
Profile Details
| NPI number | 1164520540 |
|---|---|
| LBN Legal business name | Forsberg, Ronald W |
| Credentials | DDS PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 6th, 2009 - about 16 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 | 1164520540 | NPPES |
| Idaho | MEDICAID | 000439700 | |
| Idaho | Other | 000010009601 | |
| Idaho | Other | 67413 |
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