Amanda J Forstrom is a Specialist in New Ulm, Minnesota. Amanda J Forstrom practices all healthcare services and medical treatments related to Specialist. The NPI Number for Amanda J Forstrom is 1386615375. The last update date is 2014-08-25.
Amanda J Forstrom's current location address is 912 S Broadway St, New Ulm, Minnesota. You can contact this provider via phone number 5073594393. The mailing address for Amanda J Forstrom is 912 S Broadway St, New Ulm, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda J Forstrom |
|---|---|
| Address | 912 S Broadway St, New Ulm, Minnesota |
| Phone Number | 5073594393 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1386615375 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2014-08-25 |
Provider Mailing Address Detail
| Address | 912 S Broadway St |
|---|---|
| City | New Ulm |
| State | Minnesota (MN) |
| Post Code | 560733409 |
| Phone Number | 5073594393 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 6460 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 124G2FO | MN | BXBS |
Post Comment/ Review Below
What is the unique identifier code issued to Amanda J Forstrom by the Centers for Medicare & Medicaid Services?
The Amanda J Forstrom has been assigned the NPI (National Provider Identifier) 1386615375. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Amanda J Forstrom is physically located?
The Amanda J Forstrom is situated at the following address: 912 S Broadway St, New Ulm, MN 560733409.
What is Amanda J Forstrom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Amanda J Forstrom is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date was the 1386615375 assigned to Amanda J Forstrom?
The Amanda J Forstrom was issued its 1386615375 on 2006-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Amanda J Forstrom most recently updated?
The details pertaining to the Amanda J Forstrom, including its address, specialty, and other relevant information, were last refreshed on 2014-08-25.