Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 5110 | FL |
N | 111NN1001X | Nutrition | 5110 | FL |
NPI | 1376649228 |
---|---|
Provider Name | Dr. Stephen Ware Forbess |
First Address | Cooper City, FL 33328-6311 |
Second Address | Cooper City, FL 33328-6311 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
59059891 | BS/BS OF ALABAMA (01) | AL |
70893 | BC/BS OF FLORIDA (01) | FL |
T85524 | (02) |