Koster, Jeanette
Koster, Jeanette is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Koster, Jeanette can be contacted via phone (540) 981-8621.Contact Information
Primary practice address
1906 Belleview Ave Se
Roanoke VA 24014-1838
Phone: (540) 981-8621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024-166756 | Virginia |
Profile Details
| NPI number | 1457311334 |
|---|---|
| LBN Legal business name | Koster, Jeanette |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Sep 9th, 2021 - about 3 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 | 1457311334 | NPPES |
| Virginia | MEDICAID | 010268851 |
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