Fontneau, Nancy M.

Fontneau, Nancy M. is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Neurology, Worcester MA 01655-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Fontneau, Nancy M. can be contacted via phone (508) 856-2527.

Contact Information

Primary practice address
55 Lake Ave N Department Of Neurology Worcester MA 01655-0002
Fax: (508) 856-6778
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 60668 Massachusetts

Profile Details

NPI number 1073597993
LBN Legal business name Fontneau, Nancy M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Aug 4th, 2011 - about 14 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 1073597993 NPPES
Massachusetts MEDICAID 3046460

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