Preston Ellard Forthun, DC ATC is a
Specialist/technologist - Athletic Trainer based in Minneapolis, Minnesota. Preston Ellard Forthun is licensed to practice in Minnesota (license number ) and his current practice location is
133 West Lake Street, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 823-2020.
NPI number for Preston Ellard Forthun is 1760413363 and his current mailing address is 255 2nd Ave Nw, Milaca, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760413363.
Healthcare Provider's Profile
Full Name | Preston Ellard Forthun |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 133 West Lake Street, Minneapolis, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760413363
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Preston Ellard Forthun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760413363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 4690 (Minnesota) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Preston Ellard Forthun is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Preston Ellard Forthun, DC ATC 255 2nd Ave Nw, Milaca, MN 56353 Ph: (952) 270-2150 | Preston Ellard Forthun, DC ATC 133 West Lake Street, Minneapolis, MN 55408 Ph: (612) 823-2020 |
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