Rackham, Forrest
Rackham, Forrest is an individual health care provider with primary practice located at 575B Blues Lake Pkwy , Rolla MO 65401-8587. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rackham, Forrest can be contacted via phone (573) 364-2007.Contact Information
Primary practice address
575B Blues Lake Pkwy
Rolla MO 65401-8587
Phone: (573) 364-2007
Fax: (573) 202-2402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810004701 | Virginia |
Profile Details
| NPI number | 1972841484 |
|---|---|
| LBN Legal business name | Rackham, Forrest |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2013 |
| Last updated | Mar 25th, 2021 - about 3 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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