MEDICARE: DR. ROBERT TERRENCE FOY D.C.

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	111N00000X	Chiropractor	2002005721	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7567739	OTHER	MO	AETNA
2	5669278	OTHER	MO	FIRST HEALTH
3	9274178	OTHER	MO	PHCS
4	558624	OTHER	MO	HEALTHLINK
5	178785	OTHER	MO	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1558326066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT TERRENCE FOY D.C.

Provider Business Mailing Address
First Line	:	3538 JAMIESON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-2103
Country	:	US
Telephone Number	:	314-647-5047
Fax Number	:	314-647-5047

Provider Business Practice Location Address
First Line	:	3538 JAMIESON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-2103
Country	:	US
Telephone Number	:	314-647-5047
Fax Number	:	314-647-5047

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	09/12/2011

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