Forse, William R.

Forse, William R. is an sole proprietor health care provider with primary practice located at 1 Outlet Ln Suite 310, Lock Haven PA 17745-9794. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Forse, William R. can be contacted via phone (570) 769-2877.

Contact Information

Primary practice address
1 Outlet Ln Suite 310 Lock Haven PA 17745-9794
Phone: (570) 769-2877
Fax: (570) 769-2879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000027 Pennsylvania

Profile Details

NPI number 1568428688
LBN Legal business name Forse, William R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Sep 29th, 2008 - about 18 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 1568428688 NPPES
Pennsylvania Other 1900886 HIGHMARK BLUE SHIELD
Pennsylvania Other 75790 163H HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 001863439 HIGHMARK BLUE SHIELD

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