Fontaine, Edmund Vincent

Fontaine, Edmund Vincent is an individual health care provider with primary practice located at 4436 Nw 50Th St , Oklahoma City OK 73112-2212. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Fontaine, Edmund Vincent can be contacted via phone (405) 858-2700.

Contact Information

Primary practice address
4436 Nw 50Th St Oklahoma City OK 73112-2212
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Oklahoma

Profile Details

NPI number 1952508764
LBN Legal business name Fontaine, Edmund Vincent
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 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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