Howard, Fonco

Howard, Fonco is an sole proprietor health care provider with primary practice located at 2579 Chamblee Tucker Rd , Chamblee GA 30341-3515. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Howard, Fonco can be contacted via phone (770) 452-9600.

Contact Information

Primary practice address
2579 Chamblee Tucker Rd Chamblee GA 30341-3515
Phone: (770) 452-9600
Fax: (770) 452-8303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD000769 Georgia

Profile Details

NPI number 1215960513
LBN Legal business name Howard, Fonco
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Jul 9th, 2007 - about 17 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 1215960513 NPPES
Georgia MEDICAID 000691347C

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