Fontaine, Elisabeth

Fontaine, Elisabeth is an individual health care provider with primary practice located at 12 Crest Rd , St Albans V VT 05478. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Fontaine, Elisabeth can be contacted via phone (802) 524-5523.

Contact Information

Primary practice address
12 Crest Rd St Albans V VT 05478
Fax: (802) 524-5438
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0420008922 Vermont

Profile Details

NPI number 1184644437
LBN Legal business name Fontaine, Elisabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Oct 25th, 2013 - about 11 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 1184644437 NPPES
Vermont MEDICAID 0VN0970

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