Forsyth, Madison Mary

Forsyth, Madison Mary is an sole proprietor health care provider with primary practice located at 217 S Madison St , Traverse City MI 49684-2321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Forsyth, Madison Mary can be contacted via phone (231) 392-8400.

Contact Information

Primary practice address
217 S Madison St Traverse City MI 49684-2321
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AG09200201 Michigan

Profile Details

NPI number 1780289199
LBN Legal business name Forsyth, Madison Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2020
Last updated Jan 24th, 2021 - about 3 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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