Provider Demographics
NPI:1144420316
Name:FORSELL, ERIKA (ERIKA FORSELL, LAC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:FORSELL
Suffix:
Gender:F
Credentials:ERIKA FORSELL, LAC
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:WREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 BARRISTERS ROW
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4985
Mailing Address - Country:US
Mailing Address - Phone:646-483-3858
Mailing Address - Fax:
Practice Address - Street 1:8 BARRISTERS ROW
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4985
Practice Address - Country:US
Practice Address - Phone:646-483-3858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003530171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist