Forsyth, Terri J
Forsyth, Terri J is an individual health care provider with primary practice located at 200 Hawthorne Ln , Charlotte NC 28204-2515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Forsyth, Terri J can be contacted via phone (704) 384-4944.Contact Information
Primary practice address
200 Hawthorne Ln
Charlotte NC 28204-2515
Phone: (704) 384-4944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 300111 | North Carolina |
Profile Details
| NPI number | 1356382279 |
|---|---|
| LBN Legal business name | Forsyth, Terri J |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Aug 5th, 2012 - about 14 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 | 1356382279 | NPPES |
| Virginia | MEDICAID | 007786662 |
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