Fontaine, Fedia Eveline
Fontaine, Fedia Eveline is an sole proprietor health care provider with primary practice located at 9431 Waters Edge Dr , Jonesboro GA 30236-8033. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Fontaine, Fedia Eveline can be contacted via phone (772) 646-8373.Contact Information
Primary practice address
9431 Waters Edge Dr
Jonesboro GA 30236-8033
Phone: (772) 646-8373
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN295917 | Georgia |
Profile Details
| NPI number | 1467022343 |
|---|---|
| LBN Legal business name | Fontaine, Fedia Eveline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2021 |
| Last updated | Jul 1st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467022343 | NPPES |
| Other | 000000000000000 | 0000000000000 |
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