Foss, John S

Foss, John S is an individual health care provider with primary practice located at 1903 S 6Th St , Brainerd MN 56401-4599. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Foss, John S can be contacted via phone (218) 829-1728.

Contact Information

Primary practice address
1903 S 6Th St Brainerd MN 56401-4599
Phone: (218) 829-1728
Fax: (218) 829-1729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D11925 Minnesota

Profile Details

NPI number 1184604464
LBN Legal business name Foss, John S
Credentials D.D.S, M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jan 13th, 2011 - about 13 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 1184604464 NPPES
Minnesota MEDICAID 517469400
Minnesota Other 86-00416
Minnesota Other 86-00422
Minnesota Other 271L4-FO
Minnesota Other 9177849
Minnesota Other 86-00424
Minnesota Other 132284
Minnesota Other 86-00425

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