Forsberg, Eric Jon
Forsberg, Eric Jon is an sole proprietor health care provider with primary practice located at 1422 1St Ave E , Newton IA 50208-4005. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Forsberg, Eric Jon can be contacted via phone (641) 792-2598.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8202 | Iowa |
Profile Details
| NPI number | 1225146525 |
|---|---|
| LBN Legal business name | Forsberg, Eric Jon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225146525 | NPPES |
| Iowa | Other | 34709 | WELLMARK BLUEDENTAL |
| Iowa | Other | 1489335 | WELLMARK BLUEDENTAL |
| Iowa | MEDICAID | 0290619 | WELLMARK BLUEDENTAL |
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