Fontaine, Michele
Fontaine, Michele is an individual health care provider with primary practice located at 153 Hazard Ave , Enfield CT 06082-4592. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fontaine, Michele can be contacted via phone (860) 253-5020.Contact Information
Primary practice address
153 Hazard Ave
Enfield CT 06082-4592
Phone: (860) 253-5020
Fax: (860) 253-5030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000807 | Connecticut |
Profile Details
| NPI number | 1720282833 |
|---|---|
| LBN Legal business name | Fontaine, Michele |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Mar 16th, 2012 - about 12 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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