Fontaine, Annette C
Fontaine, Annette C is an individual health care provider with primary practice located at 4901 Lang Ave Ne New Mexico Oncology & Hematology Consultants, Ltd, Albuquerque NM 87109-4397. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Fontaine, Annette C can be contacted via phone (505) 842-8171.Contact Information
Primary practice address
4901 Lang Ave Ne New Mexico Oncology & Hematology Consultants, Ltd
Albuquerque NM 87109-4397
Phone: (505) 842-8171
Fax: (505) 246-0684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 2005-0639 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2005-0639 | New Mexico |
Profile Details
| NPI number | 1346234788 |
|---|---|
| LBN Legal business name | Fontaine, Annette C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346234788 | NPPES |
| New Mexico | MEDICAID | 23481781 |
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