Foster, Nova Michele

Foster, Nova Michele is an individual health care provider with primary practice located at 1237 E Main St Suite C, Carbondale IL 62901-3148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Foster, Nova Michele can be contacted via phone (618) 457-2281.

Contact Information

Primary practice address
1237 E Main St Suite C Carbondale IL 62901-3148
Phone: (618) 457-2281
Fax: (618) 529-0573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A65913 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 036.134717 Illinois

Profile Details

NPI number 1902829567
LBN Legal business name Foster, Nova Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 18th, 2014 - about 10 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 1902829567 NPPES
California MEDICAID 00A659130

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