Fontenelle-Gilmer, Michelle A

Fontenelle-Gilmer, Michelle A is an sole proprietor health care provider with primary practice located at 9440 W Sahara Ave Ste 237 , Las Vegas NV 89117-8821. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Fontenelle-Gilmer, Michelle A can be contacted via phone (702) 765-4965.

Contact Information

Primary practice address
9440 W Sahara Ave Ste 237 Las Vegas NV 89117-8821
Phone: (702) 765-4965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301077469 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 15137 Nevada

Profile Details

NPI number 1053472449
LBN Legal business name Fontenelle-Gilmer, Michelle A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jan 6th, 2025 - about last year

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 1053472449 NPPES
Michigan MEDICAID 4377332

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