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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275582751 NPPES
Idaho Other 807415800 MEDICAID
Idaho MEDICAID 9648015 MEDICAID

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