Forward, Paul A
Forward, Paul A is an individual health care provider with primary practice located at 1915 Rezanof Dr E , Kodiak AK 99615-6602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Forward, Paul A can be contacted via phone (907) 486-3781.Contact Information
Primary practice address
1915 Rezanof Dr E
Kodiak AK 99615-6602
Phone: (907) 486-3781
Fax: (907) 486-9586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7487 | Alaska |
Profile Details
| NPI number | 1962639617 |
|---|---|
| LBN Legal business name | Forward, Paul A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2009 |
| Last updated | Jan 25th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962639617 | NPPES |
| Alaska | MEDICAID | 1009501 |
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