Beaty, Forrest O

Beaty, Forrest O is an sole proprietor health care provider with primary practice located at 6015 Anderson Rd , Forestville CA 95436-9629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Beaty, Forrest O can be contacted via phone (707) 887-7597.

Contact Information

Primary practice address
6015 Anderson Rd Forestville CA 95436-9629
Phone: (707) 887-7597
Fax: (707) 887-7669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X A024751 California

Profile Details

NPI number 1417070707
LBN Legal business name Beaty, Forrest O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417070707 NPPES
California MEDICAID 00A247511

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