Smith Forster, Jill Diane
Smith Forster, Jill Diane is an individual health care provider with primary practice located at 2500 Merced St , San Leandro CA 94577-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Smith Forster, Jill Diane can be contacted via phone (510) 454-1000.Contact Information
Primary practice address
2500 Merced St
San Leandro CA 94577-4201
Phone: (510) 454-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G56504 | California |
Profile Details
| NPI number | 1205914066 |
|---|---|
| LBN Legal business name | Smith Forster, Jill Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jun 29th, 2015 - 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 | 1205914066 | NPPES |
| California | MEDICAID | 00G565040 |
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