Fontenot, Thea Christine
Fontenot, Thea Christine is an sole proprietor health care provider with primary practice located at 1701 Oak Park Blvd , Lake Charles LA 70601-8911. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Fontenot, Thea Christine can be contacted via phone (337) 494-3830.Contact Information
Primary practice address
1701 Oak Park Blvd
Lake Charles LA 70601-8911
Phone: (337) 494-3830
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 324688 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 324688 | Louisiana |
Profile Details
NPI number | 1609474428 |
---|---|
LBN Legal business name | Fontenot, Thea Christine |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 14th, 2020 |
Last updated | Sep 26th, 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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