Shannon Gayle Foster
Individual provider Active NPI Other Technician · Pentwater, MI
NPI 1003274846 · NPPES record last updated Feb 8, 2016
Key facts
- NPI
- 1003274846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 2960 W Adams Rd
Pentwater, MI 49449-8579 - Phone
- (231) 923-6167
- NPI assigned
- Feb 8, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
2960 W Adams Rd
Pentwater, MI 49449-8579
Mailing address
2960 W Adams Rd
Pentwater, MI 49449-8579
Phone (231) 923-6167
Other providers in Pentwater, MI
- Janice E. Brubaker
- Susan Marie Cleghorn
- Douglas Michael Crossman
- Darcy Beavan Counseling PLLC
- Renita Diehlman
- Jamey Melissa Gitchel Kistler
- Memorial Medical Center of West Michigan
- Memorial Medical Center of West Michigan
- Memorial Medical Center of West Michigan
- Allan D Nelson
All providers in Pentwater, MI · Other Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.