Fontes, Martice
Fontes, Martice is an individual health care provider with primary practice located at 2271 Overland Ave Ste 5 , Burley ID 83318-2957. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Fontes, Martice can be contacted via phone (208) 678-9114.Contact Information
Primary practice address
2271 Overland Ave Ste 5
Burley ID 83318-2957
Phone: (208) 678-9114
Fax: (208) 678-8989
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LAMFT-5182 | Idaho |
Profile Details
NPI number | 1831518976 |
---|---|
LBN Legal business name | Fontes, Martice |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 15th, 2014 |
Last updated | Apr 15th, 2014 - about 11 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 | 1831518976 | NPPES |
Idaho | MEDICAID | 1376561274 |
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