Fontenot, Eudice E.

Fontenot, Eudice E. is an individual health care provider with primary practice located at 1 Childrens Way Mail Slot 512-3, Little Rock AR 72202-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Fontenot, Eudice E. can be contacted via phone (501) 364-1479.

Contact Information

Primary practice address
1 Childrens Way Mail Slot 512-3 Little Rock AR 72202-3500
Phone: (501) 364-1479
Fax: (501) 364-3667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X E-2037 Arkansas

Profile Details

NPI number 1386734887
LBN Legal business name Fontenot, Eudice E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 3rd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386734887 NPPES
Arkansas MEDICAID 124535001

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