MEDICARE: CHRISTOPHER ERINN FOYE ATC

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	2255A2300X	Athletic Trainer	872	MA

General Provider Information

NPI Number	:	1538293386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ERINN FOYE ATC

Provider Business Mailing Address
First Line	:	7 SENNA TER
Second Line	:
City	:	BILLERICA
State	:	MA
Zip	:	01821-1418
Country	:	US
Telephone Number	:	978-663-5728
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY AVE
Second Line	:
City	:	LOWELL
State	:	MA
Zip	:	01854-2827
Country	:	US
Telephone Number	:	978-934-2322
Fax Number	:

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	07/08/2007

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