Ritland, Forrest R

Ritland, Forrest R is an sole proprietor health care provider with primary practice located at 1200 N Beaver Street , Flagstaff AZ 86001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ritland, Forrest R can be contacted via phone (928) 773-2489.

Contact Information

Primary practice address
1200 N Beaver Street Flagstaff AZ 86001
Fax: (928) 773-2283
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 16350 Arizona

Profile Details

NPI number 1205865193
LBN Legal business name Ritland, Forrest R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
Last updated Mar 20th, 2015 - about 11 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 1205865193 NPPES
Arizona MEDICAID 274671
Arizona Other AZ0255820

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