Fontenot, Nicole Marie
Fontenot, Nicole Marie is an sole proprietor health care provider with primary practice located at 7601 Southcrest Pkwy , Southaven MS 38671-4742. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Fontenot, Nicole Marie can be contacted via phone (662) 772-4696.Contact Information
Primary practice address
7601 Southcrest Pkwy
Southaven MS 38671-4742
Phone: (662) 772-4696
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1376288233 |
|---|---|
| LBN Legal business name | Fontenot, Nicole Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2022 |
| Last updated | May 4th, 2022 - about 3 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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