Forte, Mary Lee

Forte, Mary Lee is an individual health care provider with primary practice located at 6642 Penn Ave S , Richfield MN 55423-2026. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Forte, Mary Lee can be contacted via phone (612) 670-5790.

Contact Information

Primary practice address
6642 Penn Ave S Richfield MN 55423-2026
Phone: (612) 670-5790
Fax: (612) 861-2752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2535 Minnesota

Profile Details

NPI number 1790882868
LBN Legal business name Forte, Mary Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790882868 NPPES
Minnesota Other 69D52FO BCBS INDIVIDUAL PROVIDER

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