Forst, Nathan Paul
Forst, Nathan Paul is an individual health care provider with primary practice located at 1300 S. Koeller Road , Oshkosh WI 54902-6196. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Forst, Nathan Paul can be contacted via phone (920) 426-5730.Contact Information
Primary practice address
1300 S. Koeller Road
Oshkosh WI 54902-6196
Phone: (920) 426-5730
Fax: (920) 426-1708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3029-035 | Wisconsin |
Profile Details
| NPI number | 1043262322 |
|---|---|
| LBN Legal business name | Forst, Nathan Paul |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Dec 2nd, 2019 - about 5 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 | 1043262322 | NPPES |
| Wisconsin | MEDICAID | 38626900 |
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