Fontana, Paul S
Fontana, Paul S is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 320 , Coeur D Alene ID 83814-4485. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Fontana, Paul S can be contacted via phone (208) 625-5250.Contact Information
Primary practice address
700 W Ironwood Dr Ste 320
Coeur D Alene ID 83814-4485
Phone: (208) 625-5250
Fax: (208) 625-5251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | N34935 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN00161870 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP30007150 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP733A | Idaho |
Profile Details
| NPI number | 1275582751 |
|---|---|
| LBN Legal business name | Fontana, Paul S |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Apr 18th, 2024 - about 7 months 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 | 1275582751 | NPPES |
| Idaho | Other | 807415800 | MEDICAID |
| Idaho | MEDICAID | 9648015 | MEDICAID |
Popular Providers
-
Masterson, Twyla Jean
850 W Ironwood Dr Ste 300 , Coeur D Alene ID 83814-4903 -
O'Keefe, Tawnya D.
420 E Indiana Ave , Coeur D Alene ID 83814-2989 -
Keibler, Connie
700 W Ironwood Dr Ste 320, Coeur D Alene ID 83814-2656 -
Foutty, Laurie
700 W Ironwood Dr Ste 120E , Coeur D Alene ID 83814-7008 -
Breisacher, Lisa G
1919 Lincoln Way 315, Coeur D Alene ID 83814-2527 -
Fletcher, Jennifer
919 W Canfield Ave , Coeur D Alene ID 83815-9764 -
Heidenreich, Tanya
2199 W Ironwood Center Dr , Coeur D Alene ID 83814-2639 -
Duff, Mary Sandra
920 W Ironwood Dr , Coeur D Alene ID 83814-2463