Foster, Jennifer

Foster, Jennifer is an individual health care provider with primary practice located at 901 Burnett Dr , Mountain Home AR 72653-2908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Foster, Jennifer can be contacted via phone (870) 425-9120.

Contact Information

Primary practice address
901 Burnett Dr Mountain Home AR 72653-2908
Phone: (870) 425-9120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X LP01715 Rhode Island
Allopathic & Osteopathic Physicians / Surgery 208600000X E8665 Arkansas

Profile Details

NPI number 1356579510
LBN Legal business name Foster, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2009
Last updated Mar 17th, 2018 - about 6 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 1356579510 NPPES
Arkansas MEDICAID 205655001

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