Foster, Jerry L

Foster, Jerry L is an individual health care provider with primary practice located at 611 W. Park St. Bwpc, Urbana IL 61801-2500. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Nursing Service Providers / Registered Nurse is his primary health care specialty. Foster, Jerry L can be contacted via phone (217) 383-3303.

Contact Information

Primary practice address
611 W. Park St. Bwpc Urbana IL 61801-2500
Phone: (217) 383-3303
Fax: (217) 383-3265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041-213052 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28132521A Indiana

Profile Details

NPI number 1588729271
LBN Legal business name Foster, Jerry L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 25th, 2006
Last updated Jul 6th, 2016 - about 9 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.

Request for update

Popular Providers