Fontenot, Cara Gradney
Fontenot, Cara Gradney is an sole proprietor health care provider with primary practice located at 2370 Gause Blvd E , Slidell LA 70461-4141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fontenot, Cara Gradney can be contacted via phone (985) 639-3755.Contact Information
Primary practice address
2370 Gause Blvd E
Slidell LA 70461-4141
Phone: (985) 639-3755
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 49863 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.206847 | Louisiana |
Profile Details
| NPI number | 1619298064 |
|---|---|
| LBN Legal business name | Fontenot, Cara Gradney |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2010 |
| Last updated | Nov 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619298064 | NPPES |
| Louisiana | MEDICAID | 2371321 | |
| Louisiana | MEDICAID | 05802213 |
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