Fontaine, Jennifer

Fontaine, Jennifer is an individual health care provider with primary practice located at 205 Burlington Rd , Bedford MA 01730-1406. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fontaine, Jennifer can be contacted via phone (781) 760-5089.

Contact Information

Primary practice address
205 Burlington Rd Bedford MA 01730-1406
Phone: (781) 760-5089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1932408341
LBN Legal business name Fontaine, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2011
Last updated Mar 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932408341 NPPES
Massachusetts Other 1303287 MBHP
Massachusetts Other 0000023532 MBHP
Massachusetts Other 1004745 MBHP
Massachusetts Other 042611055 MBHP
Massachusetts Other 1004745 MBHP
Massachusetts MEDICAID 110026265 MBHP
Massachusetts Other 99618201 MBHP
Massachusetts Other M18633 MBHP

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