Individual
MR. MICHAEL R. FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
120 W PINE ST, COLUMBUS, KS 66725-1705
(620) 429-2101
(620) 429-2106
Mailing address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
(620) 231-2808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
61786
OK
363LF0000X
Family Nurse Practitioner
Primary
74904
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100456320E
—
KS
01
—
110931005
PART B MEDICARE
KS
01
—
1881687242
BCBS KS
KS
05
—
1881687242
—
MO
Enumeration date
08/31/2005
Last updated
11/17/2020
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