Fonge, Patrick

Fonge, Patrick is an individual health care provider with primary practice located at 4203 Windflower Way , Bowie MD 20720. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Contractor, Nursing Service Related Providers / Home Health Aide, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Fonge, Patrick can be contacted via phone (404) 509-1243.

Contact Information

Primary practice address
4203 Windflower Way Bowie MD 20720
Phone: (404) 509-1243
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X HHA10649 District of Columbia
Nursing Service Related Providers / Home Health Aide 374U00000X HHA10649 District of Columbia
Pharmacy Service Providers / Pharmacist 183500000X RPH033470. Georgia

Profile Details

NPI number 1780081372
LBN Legal business name Fonge, Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2014
Last updated Dec 14th, 2021 - about 5 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 1780081372 NPPES
Georgia Other RPH033470 BOARD OF PHARMACY

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