MICHAEL JUDE DE FORREST DC NPI 1497836795

NPI Information

  • NPI: 1497836795
  • Provider Name: MICHAEL JUDE DE FORREST, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 105 N FULTON ST
    AUBURN, NY
    ZIP 13021
  • Phone: (315) 253-2962

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NPI Details

Michael Jude De Forrest, DC is a chiropractor in Auburn, NY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Michael Jude De Forrest, DC NPI is 1497836795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 N FULTON ST
AUBURN, NY
ZIP 13021
Phone: (315) 253-2962
Fax: (315) 258-0017

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorX0020751NEW YORKYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
137009BMEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2224464OTHERNEW YORKWORKERS COMP
3T26474MEDICARE UPIN

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: 11/21/2025

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