Easley, S Foster

Easley, S Foster is an sole proprietor health care provider with primary practice located at 1530 W. Glendale Ave. Suite 104, Phoenix AZ 85021. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Easley, S Foster can be contacted via phone (602) 973-8285.

Contact Information

Primary practice address
1530 W. Glendale Ave. Suite 104 Phoenix AZ 85021
Phone: (602) 973-8285
Fax: (602) 973-8248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3212 Arizona
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 3212 Arizona
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 3212 Arizona
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 3212 Arizona

Profile Details

NPI number 1396789830
LBN Legal business name Easley, S Foster
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Jan 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396789830 NPPES
Arizona MEDICAID 579170

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