Provider Demographics
NPI:1619158607
Name:LINDA B. FOSTER
Entity Type:Organization
Organization Name:LINDA B. FOSTER
Other - Org Name:DR. LINDA B. FOSTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:BOMBINO
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-460-5538
Mailing Address - Street 1:1705 KEELING RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-3209
Mailing Address - Country:US
Mailing Address - Phone:757-460-5538
Mailing Address - Fax:
Practice Address - Street 1:1705 KEELING RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-3209
Practice Address - Country:US
Practice Address - Phone:757-460-5538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LINDA B. FOSTER, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-18
Last Update Date:2007-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C08848Medicare UPIN