Provider Demographics
NPI:1528308053
Name:FOLMAR, JOHN (AUD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:FOLMAR
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 AIRPORT BLVD
Mailing Address - Street 2:SU 400
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-2018
Mailing Address - Country:US
Mailing Address - Phone:650-373-2081
Mailing Address - Fax:650-373-2002
Practice Address - Street 1:533 AIRPORT BLVD
Practice Address - Street 2:SU 400
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-2018
Practice Address - Country:US
Practice Address - Phone:650-373-2081
Practice Address - Fax:650-373-2002
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2029237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter