Fountain, Eric

Fountain, Eric is an individual health care provider with primary practice located at 520 S Eagle Rd , Meridian ID 83642-6351. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Fountain, Eric can be contacted via phone (208) 381-2484.

Contact Information

Primary practice address
520 S Eagle Rd Meridian ID 83642-6351
Phone: (208) 381-2484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X M14950 Idaho
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X M14950 Idaho

Profile Details

NPI number 1649513250
LBN Legal business name Fountain, Eric
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated Mar 24th, 2020 - about 4 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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