Forrest Joshua Clark
Student in an Organized Health Care Education/Training Program in Wheat Ridge, CO. Individual provider (NPI-1).
Details
- NPI
- 1962363796
- Entity type
- Individual (NPI-1)
- Name
- Forrest Joshua Clark
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2025
- Certification date
- Nov 20, 2025
- Last updated
- Nov 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
11180 W 44th Ave Ste 106Wheat Ridge, CO 80033-2513
Phone 720-465-1919
Mailing address
6356 S Newland CtLittleton, CO 80123-3862
Phone 303-960-4708
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Student in an Organized Health Care Education/Training Program providers in Wheat Ridge · All 3,037 providers in Wheat Ridge
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