Forman, Sarah Rose

Forman, Sarah Rose is an individual health care provider with primary practice located at 1722 S Lewis Rd , Camarillo CA 93012-8520. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Forman, Sarah Rose can be contacted via phone (805) 445-7800.

Contact Information

Primary practice address
1722 S Lewis Rd Camarillo CA 93012-8520
Phone: (805) 445-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1689976334
LBN Legal business name Forman, Sarah Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2010
Last updated Aug 2nd, 2016 - about 10 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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