Forsythe, Donna Marie

Forsythe, Donna Marie is an sole proprietor health care provider with primary practice located at 441 S Hamilton St , Watertown NY 13601-3837. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Forsythe, Donna Marie can be contacted via phone (315) 489-7758.

Contact Information

Primary practice address
441 S Hamilton St Watertown NY 13601-3837
Phone: (315) 489-7758
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 281020 New York

Profile Details

NPI number 1780860189
LBN Legal business name Forsythe, Donna Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2008
Last updated Nov 28th, 2011 - about 13 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 1780860189 NPPES
New York MEDICAID 02857069

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