Fontaine, Brian David

Fontaine, Brian David is an sole proprietor health care provider with primary practice located at 125 Mascoma St , Lebanon NH 03766-2647. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Fontaine, Brian David can be contacted via phone (603) 448-7404.

Contact Information

Primary practice address
125 Mascoma St Lebanon NH 03766-2647
Phone: (603) 448-7404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X R1081 New Hampshire

Profile Details

NPI number 1366656753
LBN Legal business name Fontaine, Brian David
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 17 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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