Fotso, Carmen T
Fotso, Carmen T is an individual health care provider with primary practice located at 979 W Main St Ste 201 , West Dundee IL 60118-2095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fotso, Carmen T can be contacted via phone (800) 323-1743.Contact Information
Primary practice address
979 W Main St Ste 201
West Dundee IL 60118-2095
Phone: (800) 323-1743
Fax: (847) 426-1086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036106098 | Illinois |
Profile Details
| NPI number | 1336122902 |
|---|---|
| LBN Legal business name | Fotso, Carmen T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Dec 8th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336122902 | NPPES |
| Illinois | MEDICAID | 036106098 |
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