Individual
MRS. ALISON PAIGE FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1468
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100732910-A
GROUP MEDICAID/SOONERCARE
OK
01
—
100732910-G
GROUP MEDICAID/SOONERCARE
OK
05
—
200556340 A
—
OK
01
—
73-1042545
GROUP MEDICARE
OK
01
—
731042545001
GROUP TRICARE
OK
Enumeration date
02/07/2007
Last updated
06/17/2015
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