Forte, Mario D.

Forte, Mario D. is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Forte, Mario D. can be contacted via phone (360) 501-3500.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2310
Phone: (360) 501-3500
Fax: (360) 501-3555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00027430 Washington

Profile Details

NPI number 1710985817
LBN Legal business name Forte, Mario D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Nov 14th, 2007 - about 18 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 1710985817 NPPES
Oregon MEDICAID 026125
Oregon MEDICAID 8127359
Oregon Other 217048
Oregon Other 8943475

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