Forsyth, William Fred

Forsyth, William Fred is an sole proprietor health care provider with primary practice located at 1215 N North St , Peoria IL 61606-1569. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Forsyth, William Fred can be contacted via phone (309) 674-8913.

Contact Information

Primary practice address
1215 N North St Peoria IL 61606-1569
Phone: (309) 674-8913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1871517771
LBN Legal business name Forsyth, William Fred
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 17 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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