Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CH0003767 | FL |
N | 111NN0400X | Neurology | CH0003767 | FL |
N | 111NN1001X | Nutrition | CH0003767 | FL |
N | 111NR0200X | Radiology | CH0003767 | FL |
N | 213ER0200X | Radiology | CH0003767 | FL |
N | 111NR0400X | Rehabilitation Chiropractor | CH0003767 | FL |
N | 111NT0100X | Thermography | CH0003767 | FL |
NPI | 1417093089 |
---|---|
Provider Name | Dr. George A Forster |
First Address | Zephyrhills, FL 33542-6959 |
Second Address | Zephyrhills, FL 33542-6959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T85890 | (02) | FL |