Fonseca, Vivian Andrew
Fonseca, Vivian Andrew is an individual health care provider with primary practice located at 1430 Tulane Ave Sl 53, New Orleans LA 70112-2632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Fonseca, Vivian Andrew can be contacted via phone (504) 988-4026.Contact Information
Primary practice address
1430 Tulane Ave Sl 53
New Orleans LA 70112-2632
Phone: (504) 988-4026
Fax: (504) 988-6271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 12686R | Louisiana |
Profile Details
| NPI number | 1346356037 |
|---|---|
| LBN Legal business name | Fonseca, Vivian Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jan 24th, 2012 - about 14 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 | 1346356037 | NPPES |
| Louisiana | MEDICAID | 1654426 |
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