Forsyth, John Cornelius
Forsyth, John Cornelius is an individual health care provider with primary practice located at 2081 Bronze Star Dr , Woodland CA 95776-5423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Forsyth, John Cornelius can be contacted via phone (530) 668-2600.Contact Information
Primary practice address
2081 Bronze Star Dr
Woodland CA 95776-5423
Phone: (530) 668-2600
Fax: (530) 669-5339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | G69235 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G69235 | California |
Profile Details
| NPI number | 1487674461 |
|---|---|
| LBN Legal business name | Forsyth, John Cornelius |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Sep 26th, 2016 - about 9 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 | 1487674461 | NPPES |
| California | Other | 080012846 | RR MEDICARE |
| California | Other | P00745177 | RR MEDICARE |
| California | Other | 00G692350 | RR MEDICARE |
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