Foster, Mark James

Foster, Mark James is an individual health care provider with primary practice located at 1010 Three Springs Blvd , Durango CO 81301-8296. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Foster, Mark James can be contacted via phone (970) 247-4311.

Contact Information

Primary practice address
1010 Three Springs Blvd Durango CO 81301-8296
Phone: (970) 247-4311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1467

Profile Details

NPI number 1639168479
LBN Legal business name Foster, Mark James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated May 21st, 2008 - about 17 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 1639168479 NPPES
New Mexico MEDICAID 43856560
New Mexico MEDICAID 48529222
New Mexico MEDICAID 750077

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