Fontenot, Eric Charles

Fontenot, Eric Charles is an sole proprietor health care provider with primary practice located at 2770 3Rd Ave Ste 345 , Lake Charles LA 70601-8994. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fontenot, Eric Charles can be contacted via phone (337) 494-4785.

Contact Information

Primary practice address
2770 3Rd Ave Ste 345 Lake Charles LA 70601-8994
Phone: (337) 494-4785
Fax: (337) 494-4786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD.206793 Louisiana

Profile Details

NPI number 1083931646
LBN Legal business name Fontenot, Eric Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2010
Last updated Apr 27th, 2022 - about 4 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 1083931646 NPPES
Louisiana Other MD.206793 STATE LICENSE
Louisiana MEDICAID 2361325 STATE LICENSE

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