Provider Demographics
NPI:1811964323
Name:MONOSKIE, FORREST ELMER (DC)
Entity type:Individual
Prefix:DR
First Name:FORREST
Middle Name:ELMER
Last Name:MONOSKIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:PROF
Other - First Name:MONOSKIE
Other - Middle Name:CHIROPRACTIC
Other - Last Name:OFFICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:U.S.23 & MILDRED AVE
Mailing Address - Street 2:P.O. BOX 767
Mailing Address - City:SOUTH SHORE
Mailing Address - State:KY
Mailing Address - Zip Code:41175-0767
Mailing Address - Country:US
Mailing Address - Phone:606-932-3033
Mailing Address - Fax:606-932-9335
Practice Address - Street 1:U.S .23 & 39 MILDRED AVE
Practice Address - Street 2:
Practice Address - City:SOUTH SHORE
Practice Address - State:KY
Practice Address - Zip Code:41175-0767
Practice Address - Country:US
Practice Address - Phone:606-932-3033
Practice Address - Fax:606-932-9335
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3720111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor