Fontenot, Senia Timothy

Fontenot, Senia Timothy is an individual health care provider with primary practice located at 1747 Imperial Blvd , Lake Charles LA 70605-5362. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Orthopedic, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Fontenot, Senia Timothy can be contacted via phone (337) 721-7236.

Contact Information

Primary practice address
1747 Imperial Blvd Lake Charles LA 70605-5362
Phone: (337) 721-7236
Fax: (337) 721-7237
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Orthopedic 163WX0800X RN117238 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP06594 Louisiana

Profile Details

NPI number 1861783417
LBN Legal business name Fontenot, Senia Timothy
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2011
Last updated Mar 21st, 2017 - about 9 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 1861783417 NPPES
Louisiana MEDICAID 2171381

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