Fontenot, Mary Necoloa
Fontenot, Mary Necoloa is an individual health care provider with primary practice located at 1324 Rosetta St , Lake Charles LA 70607-1932. She recently has only one registered license in Other Service Providers / Vehicle Modifications, which is considered as her primary health care specialty. Fontenot, Mary Necoloa can be contacted via phone (337) 912-8617.Contact Information
Primary practice address
1324 Rosetta St
Lake Charles LA 70607-1932
Phone: (337) 912-8617
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Vehicle Modifications | 171WV0202X | 008907424 | Louisiana |
Profile Details
NPI number | 1346744042 |
---|---|
LBN Legal business name | Fontenot, Mary Necoloa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 19th, 2018 |
Last updated | Mar 19th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346744042 | NPPES |
Louisiana | MEDICAID | 882717925 |
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