Waide, Forrest L (Ben)
Waide, Forrest L (Ben) is an individual health care provider with primary practice located at 2228 Anton Rd , Madisonville KY 42431-7700. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Waide, Forrest L (Ben) can be contacted via phone (270) 399-1776.Contact Information
Primary practice address
2228 Anton Rd
Madisonville KY 42431-7700
Phone: (270) 399-1776
Fax: (270) 440-2007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 001533 | Kentucky |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 2251H1200X | 10011030054 | Kentucky |
Profile Details
| NPI number | 1053300277 |
|---|---|
| LBN Legal business name | Waide, Forrest L (Ben) |
| Credentials | PT, OCS, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Feb 27th, 2017 - about 8 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 | 1053300277 | NPPES |
| Kentucky | Other | 000000477215 | ANTHEM BCBS FACET # |
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