Hooper, Forrest Glon

Hooper, Forrest Glon is an individual health care provider with primary practice located at 8881 Fletcher Pkwy Ste 205 , La Mesa CA 91942-3187. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Hooper, Forrest Glon can be contacted via phone (619) 270-4388.

Contact Information

Primary practice address
8881 Fletcher Pkwy Ste 205 La Mesa CA 91942-3187
Phone: (619) 270-4388
Fax: (619) 937-3767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95013348 California

Profile Details

NPI number 1639777105
LBN Legal business name Hooper, Forrest Glon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2020
Last updated Nov 4th, 2020 - about 5 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 1639777105 NPPES
California Other 95013348 NURSE PRACTITIONER/FURNISHING NUMBER

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