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TODD FORREST DO LLC NPI 1356523740


NPI Information

NPI: 1356523740
Provider Name: TODD FORREST DO LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0976117

Address:
119 CLINTON ST
MAUMEE, OH
ZIP 43537
Phone: (419) 893-8985
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TODD FORREST DO LLC is a family medicine in Maumee, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TODD FORREST DO LLC NPI is 1356523740. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

119 CLINTON ST
MAUMEE, OH
ZIP 43537-811
Phone: (419) 893-8985
Fax: (419) 893-6766

The provider's authorized official is Todd Forrest .
The authorized official title is Owner and has the following contact phone number (419) 893-8985.

The CLIA number assigned to this NPI record is 36D0976117 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 11/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine3845OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10620377MEDICAIDOHIO
2A16125MEDICARE UPINOHIO
39360991MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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