Provider Demographics
NPI:1689702037
Name:FOSTER, BRIAN SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SCOTT
Last Name:FOSTER
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:PO BOX 1042
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-0018
Mailing Address - Country:US
Mailing Address - Phone:270-753-6100
Mailing Address - Fax:270-767-9490
Practice Address - Street 1:1710 D HIGHWAY 121 NORTH BYPASS
Practice Address - Street 2:NORTHPOINTE OFFICE PARK
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071
Practice Address - Country:US
Practice Address - Phone:270-753-6100
Practice Address - Fax:270-767-9490
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor