Foreman, Jason

Foreman, Jason is an individual health care provider with primary practice located at 2916 Crossing Ct Suite #C, Champaign IL 61822-6199. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Foreman, Jason can be contacted via phone (217) 352-5809.

Contact Information

Primary practice address
2916 Crossing Ct Suite #C Champaign IL 61822-6199
Phone: (217) 352-5809
Fax: (217) 352-5812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019029690 Illinois
Dental Providers / Endodontics 1223E0200X 021002580 Illinois

Profile Details

NPI number 1124432638
LBN Legal business name Foreman, Jason
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2014
Last updated Aug 25th, 2014 - about 11 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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