1891889523 NPI number — MR. CHRISTOPHER ALLAN FOSTER MD

Table of content: ANN LAN PHARMD (NPI 1366044604)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891889523 NPI number — MR. CHRISTOPHER ALLAN FOSTER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FOSTER
Provider First Name:
CHRISTOPHER
Provider Middle Name:
ALLAN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891889523
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2020 MERIDIAN STREET
Provider Second Line Business Mailing Address:
SUITE 340
Provider Business Mailing Address City Name:
ANDERSON
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46016-4349
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
765-646-8477
Provider Business Mailing Address Fax Number:
765-649-4290

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2020 MERIDIAN STREET
Provider Second Line Business Practice Location Address:
SUITE 340
Provider Business Practice Location Address City Name:
ANDERSON
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46016-4349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-646-8477
Provider Business Practice Location Address Fax Number:
765-649-4290
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  01027765 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100010198 . This is a "TCARE ST JOHNS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100010198 . This is a "TCARE COMMUNITY ANDERSON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100171340A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00000085346 . This is a "ANTHEM" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 64042351 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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