Dr Charles Kenneth Foulsham Ii, MD | |
401 High Street, Lock Haven, PA 11774-0117 | |
(570) 748-6777 | |
(570) 748-0110 |
Full Name | Dr Charles Kenneth Foulsham Ii |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 401 High Street, Lock Haven, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972669612 | NPI | - | NPPES |
058467 | Other | PA | BLUE CROSS BLUE SHIELD |
18639 | Other | PA | GEISINGER HEALTH PLAN |
0008614940001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MD026474E (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Kenneth Foulsham Ii, MD Po Box 117, Lock Haven, PA 17745-0117 Ph: (570) 748-6777 | Dr Charles Kenneth Foulsham Ii, MD 401 High Street, Lock Haven, PA 11774-0117 Ph: (570) 748-6777 |
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