Fontaine, David W

Fontaine, David W is an individual health care provider with primary practice located at 703 Riverway Pl , Bedford NH 03110-6768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fontaine, David W can be contacted via phone (603) 668-7096.

Contact Information

Primary practice address
703 Riverway Pl Bedford NH 03110-6768
Phone: (603) 668-7096
Fax: (603) 669-6944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11108 New Hampshire

Profile Details

NPI number 1346205184
LBN Legal business name Fontaine, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Sep 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346205184 NPPES
New Hampshire Other 294664 CIGNA
New Hampshire Other 01Y002791NH02 CIGNA
New Hampshire Other 101250 CIGNA
New Hampshire Other 300113664 CIGNA
New Hampshire Other 2486283 CIGNA
New Hampshire Other 01Y002791 NH05 CIGNA
New Hampshire MEDICAID 30201186 CIGNA

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