Fonsworth, Stephen Demosthenes

Fonsworth, Stephen Demosthenes is an individual health care provider with primary practice located at 1708 Banyan Ct , Ceres CA 95307-1907. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Fonsworth, Stephen Demosthenes can be contacted via phone (209) 538-1888.

Contact Information

Primary practice address
1708 Banyan Ct Ceres CA 95307-1907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1851152052
LBN Legal business name Fonsworth, Stephen Demosthenes
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2024
Last updated May 2nd, 2024 - about 2 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.

Request for update

Popular Providers