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NPI Code Detail

MEDICARE: DR. TRICIA K FOSTER DO

MEDICARE: DR. TRICIA K FOSTER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083X0100XOccupational Medicine Physician02002320AIN
2207Q00000XFamily Medicine Physician02002320AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275753253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRICIA K FOSTER DO
Provider Business Mailing Address
First Line : 1953 WATERFALL DR STE A
Second Line :
City : NAPPANEE
State : IN
Zip : 46550-8961
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1953 WATERFALL DR STE A
Second Line :
City : NAPPANEE
State : IN
Zip : 46550-8961
Country : US
Telephone Number : 574-773-4101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 03/18/2024

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Directions to “ DR. TRICIA K FOSTER DO” Practice Location

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