Foose, Keiko Marie

Foose, Keiko Marie is an individual health care provider with primary practice located at 1715 61St Ave , Greeley CO 80634-7989. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Foose, Keiko Marie can be contacted via phone (970) 336-1500.

Contact Information

Primary practice address
1715 61St Ave Greeley CO 80634-7989
Phone: (970) 336-1500
Fax: (970) 336-1505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 93588 Colorado

Profile Details

NPI number 1134175615
LBN Legal business name Foose, Keiko Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jun 5th, 2014 - about 11 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 1134175615 NPPES
Colorado MEDICAID 62452037

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