Provider Demographics
NPI:1558326066
Name:FOY, ROBERT TERRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TERRENCE
Last Name:FOY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3538 JAMIESON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-2103
Mailing Address - Country:US
Mailing Address - Phone:314-647-5047
Mailing Address - Fax:314-647-5047
Practice Address - Street 1:3538 JAMIESON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-2103
Practice Address - Country:US
Practice Address - Phone:314-647-5047
Practice Address - Fax:314-647-5047
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002005721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO7567739OtherAETNA
MO5669278OtherFIRST HEALTH
MO9274178OtherPHCS
MO558624OtherHEALTHLINK
MO178785OtherBLUE CROSS BLUE SHIELD
MO7567739OtherAETNA
MO178785OtherBLUE CROSS BLUE SHIELD