Provider Demographics
NPI:1679827844
Name:SCHWEITZER, FORREST CRAIG (BA CNIM)
Entity Type:Individual
Prefix:
First Name:FORREST
Middle Name:CRAIG
Last Name:SCHWEITZER
Suffix:
Gender:M
Credentials:BA CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4808 FAIRMONT PKWY # 404
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3722
Mailing Address - Country:US
Mailing Address - Phone:281-673-0222
Mailing Address - Fax:888-824-1470
Practice Address - Street 1:4808 FAIRMONT PKWY # 404
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3722
Practice Address - Country:US
Practice Address - Phone:281-673-0222
Practice Address - Fax:888-824-1470
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-09
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CNIM 2565246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CNIM 2565OtherAMERICAN BOARD OF REGISTERED EEG AND EP TECHNOLOGISTS