Provider Demographics
NPI:1023757093
Name:FORBESS FAMILY WELLNESS, L.L.C.
Entity type:Organization
Organization Name:FORBESS FAMILY WELLNESS, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHIRU
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:FORBESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-912-6073
Mailing Address - Street 1:5300 HIGHLAND DR STE B
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-2000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5300 HIGHLAND DR STE B
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-2000
Practice Address - Country:US
Practice Address - Phone:501-916-9470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FORBESS FAMILY WELLNESS, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-30
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty