Forslund, Darrel Richard

Forslund, Darrel Richard is an individual health care provider with primary practice located at 1915 W 4Th St , Spencer IA 51301-3006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Forslund, Darrel Richard can be contacted via phone (712) 262-5479.

Contact Information

Primary practice address
1915 W 4Th St Spencer IA 51301-3006
Phone: (712) 262-5479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR0061273 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27694 Iowa

Profile Details

NPI number 1396783726
LBN Legal business name Forslund, Darrel Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Sep 27th, 2018 - about 7 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 1396783726 NPPES
Iowa MEDICAID 4057745

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