Foote, Debra S.

Foote, Debra S. is an individual health care provider with primary practice located at 30 E Apple St Suite Nw 3300, Dayton OH 45409-2939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Foote, Debra S. can be contacted via phone (937) 208-8394.

Contact Information

Primary practice address
30 E Apple St Suite Nw 3300 Dayton OH 45409-2939
Fax: (937) 208-8388
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP-09361 Ohio

Profile Details

NPI number 1164633707
LBN Legal business name Foote, Debra S.
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Dec 11th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164633707 NPPES
Ohio MEDICAID 2795579

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