Forrest, Stephen Bernard

Forrest, Stephen Bernard is an sole proprietor health care provider with primary practice located at 1160 Se 18Th Pl , Ocala FL 34471-5422. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Forrest, Stephen Bernard can be contacted via phone (352) 732-8905.

Contact Information

Primary practice address
1160 Se 18Th Pl Ocala FL 34471-5422
Phone: (352) 732-8905
Fax: (352) 732-2440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP612392 Florida

Profile Details

NPI number 1255318606
LBN Legal business name Forrest, Stephen Bernard
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Oct 22nd, 2011 - about 15 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 1255318606 NPPES
Florida MEDICAID 033612200

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