Fong, Christine-Marie L.

Fong, Christine-Marie L. is an sole proprietor health care provider with primary practice located at 1111 6Th Ave , Des Moines IA 50314-2613. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Fong, Christine-Marie L. can be contacted via phone (515) 358-4000.

Contact Information

Primary practice address
1111 6Th Ave Des Moines IA 50314-2613
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 38472-020 Wisconsin

Profile Details

NPI number 1235235359
LBN Legal business name Fong, Christine-Marie L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Apr 28th, 2009 - about 15 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 1235235359 NPPES
Wisconsin MEDICAID 32401800

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