Fontaine, John
Fontaine, John is an individual health care provider with primary practice located at 219 N Broad St 2Nd Floor, Philadelphia PA 19107-1519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fontaine, John can be contacted via phone (215) 762-5080.Contact Information
Primary practice address
219 N Broad St 2Nd Floor
Philadelphia PA 19107-1519
Phone: (215) 762-5080
Fax: (215) 561-8071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD042292L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD042292L | Pennsylvania |
Profile Details
| NPI number | 1811945017 |
|---|---|
| LBN Legal business name | Fontaine, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811945017 | NPPES |
| Pennsylvania | MEDICAID | 001214146 |
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