Lee A Forestiere Md Pa

LBN: Lee A Forestiere Md Pa
Lee A Forestiere Md Pa is an health care organization with primary practice located at 1609 W 40Th Ave Ste 403 , Pine Bluff AR 71603-6365. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Lee A Forestiere Md Pa can be contacted via phone (870) 534-4188, or through Bogy, Renee via phone (870) 534-4188.

Contact Information

Primary practice address
1609 W 40Th Ave Ste 403 Pine Bluff AR 71603-6365
Phone: (870) 534-4188
Fax: (870) 534-7964
Website:
Map and Directions
Authorized official contact:
Name: Bogy, Renee
Phone: (870) 534-4188

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X C4813 Arkansas
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1255661732
LBN Legal business name Lee A Forestiere Md Pa
DBA Doing business as
Authorized official Bogy, Renee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2010
Last updated Oct 20th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255661732 NPPES
Arkansas MEDICAID 103036001

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