Fontenot, Matthew Shane
Fontenot, Matthew Shane is an individual health care provider with primary practice located at 1214 Coolidge Blvd , Lafayette LA 70503-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fontenot, Matthew Shane can be contacted via phone (337) 289-7927.Contact Information
Primary practice address
1214 Coolidge Blvd
Lafayette LA 70503-2621
Phone: (337) 289-7927
Fax: (337) 289-7935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 024987 | Louisiana |
Profile Details
| NPI number | 1013985530 |
|---|---|
| LBN Legal business name | Fontenot, Matthew Shane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Aug 4th, 2009 - about 17 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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