Forch, Janis Suzann

Forch, Janis Suzann is an individual health care provider with primary practice located at 7615 W Thunderbird Rd Ste 106, Peoria AZ 85381-6083. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Forch, Janis Suzann can be contacted via phone (623) 773-2273.

Contact Information

Primary practice address
7615 W Thunderbird Rd Ste 106 Peoria AZ 85381-6083
Phone: (623) 773-2273
Fax: (623) 773-2274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1385 Arizona

Profile Details

NPI number 1174500581
LBN Legal business name Forch, Janis Suzann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Oct 26th, 2012 - about 14 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 1174500581 NPPES
Arizona MEDICAID 173336

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