Foster, Stephanie R
Foster, Stephanie R is an individual health care provider with primary practice located at 900 Main St Ste 450 , Peoria IL 61602-5018. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Foster, Stephanie R can be contacted via phone (309) 672-4568.Contact Information
Primary practice address
900 Main St Ste 450
Peoria IL 61602-5018
Phone: (309) 672-4568
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1033480355 |
|---|---|
| LBN Legal business name | Foster, Stephanie R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2012 |
| Last updated | Feb 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033480355 | NPPES |
| Illinois | Other | P01103818 | RR MEDICARE |
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