Fontaine, Eric

Fontaine, Eric is an individual health care provider with primary practice located at 1310 Middleford Rd Suite 101, Seaford DE 19973-3670. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fontaine, Eric can be contacted via phone (302) 629-5700.

Contact Information

Primary practice address
1310 Middleford Rd Suite 101 Seaford DE 19973-3670
Phone: (302) 629-5700
Fax: (302) 629-6001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X J1-0003121 Delaware

Profile Details

NPI number 1407275530
LBN Legal business name Fontaine, Eric
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2014
Last updated Feb 24th, 2016 - about 8 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 1407275530 NPPES
Delaware Other K7520021 CAREFIRST
Delaware Other P01401462 CAREFIRST
Delaware MEDICAID 1407275530 CAREFIRST
Delaware Other 346204YBWE CAREFIRST

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