MEDICARE: DR. WILLIAM ARTHUR FORSYTH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	M12887	ID

General Provider Information

NPI Number	:	1467440669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM ARTHUR FORSYTH MD

Provider Business Mailing Address
First Line	:	784 S CLEARWATER LOOP STE 8103
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:	217-341-3716
Fax Number	:

Provider Business Practice Location Address
First Line	:	784 S CLEARWATER LOOP STE 8103
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:	217-341-3716
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	02/19/2026

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