Healthcare Provider Details

I. General information

NPI: 1730428822
Provider Name (Legal Business Name): ERIN FOSTER L.OM, L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 02/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 VILLAGE ROW
NEW HOPE PA
18938-1061
US

IV. Provider business mailing address

9 VILLAGE ROW
NEW HOPE PA
18938-1061
US

V. Phone/Fax

Practice location:
  • Phone: 267-714-4149
  • Fax: 636-243-3816
Mailing address:
  • Phone: 267-714-4149
  • Fax: 636-243-3816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberOM000143
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: