Healthcare Provider Details

I. General information

NPI: 1346985280
Provider Name (Legal Business Name): THOMAS MICHAEL FOSLER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 RISING SUN RD
BAILEY CO
80421-2212
US

IV. Provider business mailing address

526 RISING SUN RD
BAILEY CO
80421-2212
US

V. Phone/Fax

Practice location:
  • Phone: 303-257-5163
  • Fax:
Mailing address:
  • Phone: 303-257-5163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: