Foster, Brendon Tyler
Foster, Brendon Tyler is an individual health care provider with primary practice located at 10103 Ridgegate Pkwy Ste 306 , Lone Tree CO 80124-5525. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Foster, Brendon Tyler can be contacted via phone (541) 517-1206.Contact Information
Primary practice address
10103 Ridgegate Pkwy Ste 306
Lone Tree CO 80124-5525
Phone: (541) 517-1206
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X |
Profile Details
| NPI number | 1114373750 |
|---|---|
| LBN Legal business name | Foster, Brendon Tyler |
| Credentials | CNIM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2016 |
| Last updated | Nov 11th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114373750 | NPPES |
| Other | 3137 | CNIM |
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