Foster, Christie

Foster, Christie is an individual health care provider with primary practice located at 1104 S 42Nd St , Mount Vernon IL 62864-6216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Foster, Christie can be contacted via phone (618) 315-6360.

Contact Information

Primary practice address
1104 S 42Nd St Mount Vernon IL 62864-6216
Phone: (618) 315-6360
Fax: (618) 315-6356
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036112920 Illinois

Profile Details

NPI number 1366486235
LBN Legal business name Foster, Christie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 21st, 2014 - about 10 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 1366486235 NPPES
Illinois Other IL8716001 MEDICARE PTAN
Illinois MEDICAID 0361129202 MEDICARE PTAN
Illinois Other DU1659 MEDICARE PTAN

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