MEDICARE: C. MICHELLE FOLEY

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
1	231H00000X	Audiologist	0440819	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1104102649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	C. MICHELLE FOLEY

Provider Business Mailing Address
First Line	:	1535 MOUNT WOODMEN CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1028
Country	:	US
Telephone Number	:	719-598-0574
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 MOUNT WOODMEN CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1028
Country	:	US
Telephone Number	:	719-598-0574
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2011
Last Update Date	:	10/28/2011

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