Foster, John Gregory

Foster, John Gregory is an individual health care provider with primary practice located at 2325 Coronado St , Idaho Falls ID 83404-7407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Foster, John Gregory can be contacted via phone (208) 557-2700.

Contact Information

Primary practice address
2325 Coronado St Idaho Falls ID 83404-7407
Phone: (208) 557-2700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704261371 Michigan

Profile Details

NPI number 1467648691
LBN Legal business name Foster, John Gregory
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2007
Last updated Oct 9th, 2009 - about 16 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 1467648691 NPPES
Idaho MEDICAID 808402900

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