La Fountain, Charmain Rose Zapotoczny

La Fountain, Charmain Rose Zapotoczny is an sole proprietor health care provider with primary practice located at 6 Parklane Blvd Suite 695, Dearborn MI 48126-2696. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. La Fountain, Charmain Rose Zapotoczny can be contacted via phone (313) 271-8170.

Contact Information

Primary practice address
6 Parklane Blvd Suite 695 Dearborn MI 48126-2696
Phone: (313) 271-8170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1043368806
LBN Legal business name La Fountain, Charmain Rose Zapotoczny
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Dec 9th, 2014 - about 10 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 1043368806 NPPES
Michigan Other 8008970120 BCBSM

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