Fontenot, Michael Todd

Fontenot, Michael Todd is an individual health care provider with primary practice located at 8595 Picardy Ave Ste 305, Baton Rouge LA 70809-3670. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fontenot, Michael Todd can be contacted via phone (225) 763-4438.

Contact Information

Primary practice address
8595 Picardy Ave Ste 305 Baton Rouge LA 70809-3670
Phone: (225) 763-4438
Fax: (225) 763-4490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0088212 Florida

Profile Details

NPI number 1982603254
LBN Legal business name Fontenot, Michael Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Sep 23rd, 2014 - about 10 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 1982603254 NPPES
Louisiana MEDICAID 2162900
Louisiana Other 4Q548DH48

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