Organization Name: | DAVID A. FORBES, DC,PC |
NPI Number: | 1154628840 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID ANTHONY FORBES (PRESIDENT) |
Mailing Address: | 322 Edward St Henry |
State: | IL US |
Postal Code: | 615371502 |
Phone Number: | 3093643398 |
Fax Number: | 3093642059 |
NPI Enumeration Date: | 02/16/2011 |
NPI Last Update Date: | 02/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |