Provider Demographics
NPI:1881062818
Name:FOSTER, DENICE (HP,ND)
Entity type:Individual
Prefix:
First Name:DENICE
Middle Name:
Last Name:FOSTER
Suffix:
Gender:
Credentials:HP,ND
Other - Prefix:
Other - First Name:DENICE
Other - Middle Name:
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:1023 W FORT WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-2301
Mailing Address - Country:US
Mailing Address - Phone:309-267-6308
Mailing Address - Fax:256-369-1735
Practice Address - Street 1:1023 W FORT WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-2301
Practice Address - Country:US
Practice Address - Phone:256-334-4653
Practice Address - Fax:256-369-1735
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLEHP1268208D00000X
AL171W00000X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No171W00000XOther Service ProvidersContractor
No174H00000XOther Service ProvidersHealth Educator