Forson, Heather L

Forson, Heather L is an individual health care provider with primary practice located at 619 19Th Street South , Birmingham AL 35233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Forson, Heather L can be contacted via phone (205) 934-6600.

Contact Information

Primary practice address
619 19Th Street South Birmingham AL 35233
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-291 Alabama

Profile Details

NPI number 1265485601
LBN Legal business name Forson, Heather L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 9th, 2010 - about 14 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 1265485601 NPPES
Alabama Other 970025232 RAILROAD MEDICARE
Alabama Other 051507454 RAILROAD MEDICARE
Alabama MEDICAID 051507454 RAILROAD MEDICARE

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