Organization
FOSTER FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAD A FOSTER D.C (DOCTOR/OWNER)
(419) 238-6686
Entity
Organization
Contact information
Practice address
10963 VAN WERT DECATUR RD, VAN WERT, OH 45891-9211
(419) 238-6686
(419) 238-6201
Mailing address
10963 VAN WERT DECATUR RD, VAN WERT, OH 45891-9211
(419) 238-6686
(419) 238-6201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H536770
GROUP PTAN
OH
Enumeration date
06/20/2006
Last updated
05/11/2017
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