Fontenot, Eugene

Fontenot, Eugene is an individual health care provider with primary practice located at 4150 Nelson Rd , Lake Charles LA 70605-4148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fontenot, Eugene can be contacted via phone (337) 474-2056.

Contact Information

Primary practice address
4150 Nelson Rd Lake Charles LA 70605-4148
Phone: (337) 474-2056
Fax: (337) 477-9334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 014734 Louisiana

Profile Details

NPI number 1275538993
LBN Legal business name Fontenot, Eugene
Credentials M.D.12
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 14th, 2007 - about 19 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 1275538993 NPPES
Louisiana MEDICAID 1320196

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