Provider Demographics
NPI:1033608666
Name:FOYE, PATRICK (LAC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:FOYE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 W 208TH ST
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-1545
Mailing Address - Country:US
Mailing Address - Phone:512-663-3270
Mailing Address - Fax:
Practice Address - Street 1:21690 RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3108
Practice Address - Country:US
Practice Address - Phone:440-331-4744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH66.000044171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist