Jellison, Forrest C.

Jellison, Forrest C. is an individual health care provider with primary practice located at 11370 Anderson St Ste 1100 , Loma Linda CA 92354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Jellison, Forrest C. can be contacted via phone (909) 558-4196.

Contact Information

Primary practice address
11370 Anderson St Ste 1100 Loma Linda CA 92354
Phone: (909) 558-4196
Fax: (909) 558-4806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A98781 California

Profile Details

NPI number 1508073511
LBN Legal business name Jellison, Forrest C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jun 4th, 2019 - about 7 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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