Fontenot, Ray

Fontenot, Ray is an individual health care provider with primary practice located at 101 3Rd Ave Sw , Minot ND 58701-3880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fontenot, Ray can be contacted via phone (701) 857-5986.

Contact Information

Primary practice address
101 3Rd Ave Sw Minot ND 58701-3880
Fax: (701) 857-5029
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 17541 North Dakota
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X PT17541 North Dakota
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X H1081 Texas

Profile Details

NPI number 1003881558
LBN Legal business name Fontenot, Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Apr 13th, 2023 - about 2 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 1003881558 NPPES
Texas MEDICAID 128721103

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