Oliver, Peter Forrest

Oliver, Peter Forrest is an individual health care provider with primary practice located at 702 Mountain Ranch Rd , San Andreas CA 95249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Oliver, Peter Forrest can be contacted via phone (209) 754-0870.

Contact Information

Primary practice address
702 Mountain Ranch Rd San Andreas CA 95249
Phone: (209) 754-0870
Fax: (209) 754-0878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G65894 California

Profile Details

NPI number 1609812965
LBN Legal business name Oliver, Peter Forrest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 7th, 2023 - about 3 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 1609812965 NPPES
California MEDICAID 00G58940

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