Bev Fontaine Llc

LBN: Bev Fontaine Llc
Bev Fontaine Llc is an health care organization with primary practice located at 5550 Friendship Blvd Ste 360 , Chevy Chase MD 20815-7256. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Bev Fontaine Llc can be contacted via phone (240) 341-1290, or through Talebian, Hossien via phone (703) 955-4923.

Contact Information

Primary practice address
5550 Friendship Blvd Ste 360 Chevy Chase MD 20815-7256
Phone: (240) 341-1290
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Talebian, Hossien
Phone: (703) 955-4923

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1043859630
LBN Legal business name Bev Fontaine Llc
DBA Doing business as
Authorized official Talebian, Hossien
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2019
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043859630 NPPES
Maryland Other D85002 MARYLAND PHYSICIAN LICENSE
Maryland Other M94766 MARYLAND PHYSICIAN LICENSE
Maryland Other 0101265585 MARYLAND PHYSICIAN LICENSE
Maryland Other MD042654 MARYLAND PHYSICIAN LICENSE

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