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:
Health care specialties
Specialty | Code | License # | 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 15 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 | 1467648691 | NPPES |
Idaho | MEDICAID | 808402900 |
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