Forberg, Rachel J

Forberg, Rachel J is an individual health care provider with primary practice located at 4201 Buffalo Rd Ste 1 , North Chili NY 14514-1256. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Forberg, Rachel J can be contacted via phone (585) 594-5995.

Contact Information

Primary practice address
4201 Buffalo Rd Ste 1 North Chili NY 14514-1256
Phone: (585) 594-5995
Fax: (585) 594-5425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 433456-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332225-1 New York

Profile Details

NPI number 1497791271
LBN Legal business name Forberg, Rachel J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Mar 1st, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497791271 NPPES
New York Other 005605372 HEALTHNOW BSWNY BRCKPRT
New York Other 019332225 HEALTHNOW BSWNY BRCKPRT
New York MEDICAID 02346849 HEALTHNOW BSWNY BRCKPRT
New York Other 109371BF HEALTHNOW BSWNY BRCKPRT

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