Swan, Forrest
Swan, Forrest is an individual health care provider with primary practice located at 104 Abingdon Pl , Abingdon VA 24211-5197. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Swan, Forrest can be contacted via phone (276) 676-1860.Contact Information
Primary practice address
104 Abingdon Pl
Abingdon VA 24211-5197
Phone: (276) 676-1860
Fax: (276) 628-2917
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 0101054148 | Virginia |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 23266-20 | Wisconsin |
Profile Details
NPI number | 1841284429 |
---|---|
LBN Legal business name | Swan, Forrest |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Nov 8th, 2018 - about 7 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 | 1841284429 | NPPES |
Virginia | MEDICAID | 005811422 | |
Virginia | Other | 243177 |
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