Individual
DR. CRAIG A FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D F-AAA
Contact information
Practice address
2421 WEST FAIDLEY AVENUE, GRAND ISLAND, NE 68803-4328
(308) 384-2101
(308) 381-4787
Mailing address
2421 WEST FAIDLEY AVENUE, GRAND ISLAND, NE 68803-4328
(308) 384-2101
(308) 381-4787
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
64
NE
237600000X
Audiologist-Hearing Aid Fitter
020
NE
237600000X
Audiologist-Hearing Aid Fitter
Primary
64&020
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086319
MEDICARE GROUP
NE
05
—
10025275800
—
NE
05
—
47073801200
—
NE
Enumeration date
07/18/2005
Last updated
01/29/2014
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