Fontenette, Angelique Thais
Fontenette, Angelique Thais is an sole proprietor health care provider with primary practice located at Jefferson Regional Medical Center 1600 West 40Th, Pine Bluff AR 71603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Fontenette, Angelique Thais can be contacted via phone (501) 541-7100.Contact Information
Primary practice address
Jefferson Regional Medical Center 1600 West 40Th
Pine Bluff AR 71603
Phone: (501) 541-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | N8418 | Arkansas |
Profile Details
| NPI number | 1376695098 |
|---|---|
| LBN Legal business name | Fontenette, Angelique Thais |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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