Fontenot, Bobby James

Fontenot, Bobby James is an individual health care provider with primary practice located at 601 Dr Michael Debakey Dr , Lake Charles LA 70601-5726. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fontenot, Bobby James can be contacted via phone (337) 436-1624.

Contact Information

Primary practice address
601 Dr Michael Debakey Dr Lake Charles LA 70601-5726
Phone: (337) 436-1624
Fax: (337) 436-1621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP07217 Louisiana

Profile Details

NPI number 1659611309
LBN Legal business name Fontenot, Bobby James
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2013
Last updated Jul 21st, 2014 - about 12 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 1659611309 NPPES
Louisiana MEDICAID 2332236

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