Foster, Michael David
Foster, Michael David is an individual health care provider with primary practice located at 117 W Sevier Ave Suite 220, Kingsport TN 37660-3799. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Foster, Michael David can be contacted via phone (423) 224-3200.Contact Information
Primary practice address
117 W Sevier Ave Suite 220
Kingsport TN 37660-3799
Phone: (423) 224-3200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA560 | Kentucky |
Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 9027 | Kentucky |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9027 | Kentucky |
Profile Details
NPI number | 1962474304 |
---|---|
LBN Legal business name | Foster, Michael David |
Credentials | DMD, MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2006 |
Last updated | Sep 13th, 2016 - about 8 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 | 1962474304 | NPPES |
Kentucky | Other | 000000184655 | BCBS PIN # |
Kentucky | MEDICAID | 9500101200 | BCBS PIN # |
Kentucky | Other | 970014810 | BCBS PIN # |
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