Forstrom, Amanda J

Forstrom, Amanda J is an individual health care provider with primary practice located at 717 S State St Suite 900, Fairmont MN 56031-4469. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Forstrom, Amanda J can be contacted via phone (507) 237-4949.

Contact Information

Primary practice address
717 S State St Suite 900 Fairmont MN 56031-4469
Phone: (507) 237-4949
Fax: (507) 238-3377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 6460 Minnesota

Profile Details

NPI number 1386615375
LBN Legal business name Forstrom, Amanda J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 25th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386615375 NPPES
Minnesota Other 124G2FO BXBS

Popular Providers