Ditty, Jack Foster

Ditty, Jack Foster is an sole proprietor health care provider with primary practice located at 100 Saint Christopher Dr , Ashland KY 41101-7016. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Ditty, Jack Foster can be contacted via phone (606) 836-3111.

Contact Information

Primary practice address
100 Saint Christopher Dr Ashland KY 41101-7016
Phone: (606) 836-3111
Fax: (606) 833-5660
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 20687 Kentucky

Profile Details

NPI number 1740315589
LBN Legal business name Ditty, Jack Foster
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740315589 NPPES
Kentucky Other 611053554 TAX ID
Kentucky MEDICAID 64206873 TAX ID
Kentucky MEDICAID 024 1170 TAX ID
Kentucky Other 000000048343 TAX ID
Kentucky Other 20687 TAX ID

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