Provider Demographics
NPI:1831390731
Name:FORESEE, JOHN WILLIAM (BS RRT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WILLIAM
Last Name:FORESEE
Suffix:
Gender:M
Credentials:BS RRT
Other - Prefix:
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Mailing Address - Street 1:2010 IDAHO ST
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-6266
Mailing Address - Country:US
Mailing Address - Phone:775-513-6124
Mailing Address - Fax:775-537-2345
Practice Address - Street 1:1231 E BASIN AVE STE 7
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89060-4602
Practice Address - Country:US
Practice Address - Phone:775-537-2300
Practice Address - Fax:775-537-2345
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRC2102279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVRC210OtherRRT