Forslund, Jeffrey Scott

Forslund, Jeffrey Scott is an individual health care provider with primary practice located at 1575 20Th Street Northwest Suite 102, Faribault MN 55021-2932. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Forslund, Jeffrey Scott can be contacted via phone (507) 334-6433.

Contact Information

Primary practice address
1575 20Th Street Northwest Suite 102 Faribault MN 55021-2932
Phone: (507) 334-6433
Fax: (507) 334-0044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D10323 Minnesota

Profile Details

NPI number 1528187382
LBN Legal business name Forslund, Jeffrey Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1528187382 NPPES
Minnesota MEDICAID 325522100

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