Healthcare Provider Details

I. General information

NPI: 1083156301
Provider Name (Legal Business Name): FORREST MEDICAL CONSULTING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2016
Last Update Date: 12/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 PLEASANT ST
CONCORD NH
03301-2547
US

IV. Provider business mailing address

171 PLEASANT ST
CONCORD NH
03301-2547
US

V. Phone/Fax

Practice location:
  • Phone: 603-848-1540
  • Fax: 603-228-3503
Mailing address:
  • Phone: 603-848-1540
  • Fax: 603-228-3503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW FORREST
Title or Position: OWNER
Credential: MD
Phone: 603-848-1540