Healthcare Provider Details

I. General information

NPI: 1366531154
Provider Name (Legal Business Name): CATHERINE MARIE FOSTER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 DECATUR HWY SUITE 208
FULTONDALE AL
35068-1700
US

IV. Provider business mailing address

1810 DECATUR HWY SUITE 208
FULTONDALE AL
35068-1700
US

V. Phone/Fax

Practice location:
  • Phone: 205-841-0804
  • Fax:
Mailing address:
  • Phone: 205-841-0804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0940
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: