Individual
MONICA FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 S 17TH ST, CLEAR LAKE, IA 50428-2304
(641) 357-1800
(641) 357-1803
Mailing address
401 S 17TH ST, CLEAR LAKE, IA 50428-2304
(641) 357-1800
(641) 357-1803
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000918
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283465
—
IA
05
—
0293522
—
IA
05
—
0424507
—
IA
05
—
0600460
—
IA
05
—
0635011
—
IA
05
—
0655001
—
IA
01
—
29352
BCBS ER
IA
01
—
33444
FPC BCBS NRH
IA
01
—
36174
BCBS DME
IA
01
—
60046
BCBS REG
IA
01
—
66046
BCBS SNF
IA
Enumeration date
06/14/2006
Last updated
03/16/2017
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