Fontenot, Justin William

Fontenot, Justin William is an individual health care provider with primary practice located at 4212 W Congress St Ste 2300A , Lafayette LA 70506-6778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Fontenot, Justin William can be contacted via phone (337) 237-7801.

Contact Information

Primary practice address
4212 W Congress St Ste 2300A Lafayette LA 70506-6778
Phone: (337) 237-7801
Fax: (337) 235-1865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 026605 Louisiana

Profile Details

NPI number 1881790632
LBN Legal business name Fontenot, Justin William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 24th, 2020 - about 4 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 1881790632 NPPES
Louisiana MEDICAID 1057843

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