Individual
DR. TERRY L FORWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C./QME
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
12403
CA
111NX0800X
Orthopedic Chiropractor
Primary
12403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0124030
BLUE SHIELD
CA
01
—
DC124030
MEDICARE PTAN
CA
Enumeration date
06/13/2008
Last updated
12/30/2014
Update your record
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