Individual
AMY M FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1021 DAKOTA AVE, LIBBY, MT 59923-2207
(406) 293-8736
(406) 293-8737
Mailing address
1021 DAKOTA AVE, LIBBY, MT 59923-2207
(406) 293-8736
(406) 293-8737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0203511
WA
111N00000X
Chiropractor
Primary
1165
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010154052
REGENCE OF ID PROV #
WA
01
—
0203511
LABOR & INDUSTRIES ID #
WA
01
—
7310F0
ASURIS PROVIDER ID
—
01
—
98225
AWHN PROVIDER ID
—
01
—
P00284508
RAILROAD MEDICARE
WA
Enumeration date
01/22/2007
Last updated
01/09/2012
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