Foster, Brendon Tyler

Foster, Brendon Tyler is an individual health care provider with primary practice located at 10103 Ridgegate Pkwy Ste 306 , Lone Tree CO 80124-5525. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Foster, Brendon Tyler can be contacted via phone (541) 517-1206.

Contact Information

Primary practice address
10103 Ridgegate Pkwy Ste 306 Lone Tree CO 80124-5525
Phone: (541) 517-1206
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1114373750
LBN Legal business name Foster, Brendon Tyler
Credentials CNIM
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2016
Last updated Nov 11th, 2020 - about 4 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 1114373750 NPPES
Other 3137 CNIM

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