Fontaine, Mark S

Fontaine, Mark S is an sole proprietor health care provider with primary practice located at 59 N Main St , Leominster MA 01453-5507. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fontaine, Mark S can be contacted via phone (978) 537-6324.

Contact Information

Primary practice address
59 N Main St Leominster MA 01453-5507
Fax: (978) 537-0804
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3424 Massachusetts

Profile Details

NPI number 1710026943
LBN Legal business name Fontaine, Mark S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 18 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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