Foster, Gina L

Foster, Gina L is an individual health care provider with primary practice located at 1111 Theodore Dr , Champaign IL 61821-6019. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Foster, Gina L can be contacted via phone (217) 778-9336.

Contact Information

Primary practice address
1111 Theodore Dr Champaign IL 61821-6019
Phone: (217) 778-9336
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 020.012599 Illinois

Profile Details

NPI number 1851997498
LBN Legal business name Foster, Gina L
Credentials B.S. R.D.H. P.H.D.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2020
Last updated Dec 9th, 2020 - about 6 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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