Foster, Jennifer Rodriguez

Foster, Jennifer Rodriguez is an individual health care provider with primary practice located at 2400 Miami Valley Dr Ste 160 , Centerville OH 45459-4774. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Foster, Jennifer Rodriguez can be contacted via phone (937) 312-1661.

Contact Information

Primary practice address
2400 Miami Valley Dr Ste 160 Centerville OH 45459-4774
Phone: (937) 312-1661
Fax: (937) 312-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C06155 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.006149 Ohio

Profile Details

NPI number 1033669163
LBN Legal business name Foster, Jennifer Rodriguez
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2016
Last updated Oct 3rd, 2022 - about 4 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 1033669163 NPPES
Ohio MEDICAID 0378844

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