Foster, Jennifer Rodriguez
Foster, Jennifer Rodriguez is an individual health care provider with primary practice located at 2400 Miami Valley Dr Ste 160 , Centerville OH 45459-4774. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Foster, Jennifer Rodriguez can be contacted via phone (937) 312-1661.Contact Information
Primary practice address
2400 Miami Valley Dr Ste 160
Centerville OH 45459-4774
Phone: (937) 312-1661
Fax: (937) 312-1701
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C06155 | Maryland |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.006149 | Ohio |
Profile Details
NPI number | 1033669163 |
---|---|
LBN Legal business name | Foster, Jennifer Rodriguez |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2016 |
Last updated | Oct 3rd, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033669163 | NPPES |
Ohio | MEDICAID | 0378844 |
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