Provider Demographics
NPI:1346065570
Name:FORBIT, BERTRAND AWAH SR
Entity type:Individual
Prefix:
First Name:BERTRAND
Middle Name:AWAH
Last Name:FORBIT
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5604 WHITFIELD CHAPEL RD APT 101
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2543
Mailing Address - Country:US
Mailing Address - Phone:202-923-0650
Mailing Address - Fax:
Practice Address - Street 1:5604 WHITFIELD CHAPEL RD APT 101
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2543
Practice Address - Country:US
Practice Address - Phone:202-923-0650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator