Forest, Thomas J

Forest, Thomas J is an sole proprietor health care provider with primary practice located at 5000 Ambassador Caffery Pkwy Building 16, Lafayette LA 70508-6984. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Forest, Thomas J can be contacted via phone (337) 406-8009.

Contact Information

Primary practice address
5000 Ambassador Caffery Pkwy Building 16 Lafayette LA 70508-6984
Phone: (337) 406-8009
Fax: (337) 406-8010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 11767R Louisiana

Profile Details

NPI number 1760489637
LBN Legal business name Forest, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2005
Last updated Sep 25th, 2013 - about 13 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 1760489637 NPPES
Louisiana MEDICAID 1682063

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