Fountain, Adam

Fountain, Adam is an individual health care provider with primary practice located at 250 Pleasant St , Concord NH 03301-2598. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fountain, Adam can be contacted via phone (603) 789-9103.

Contact Information

Primary practice address
250 Pleasant St Concord NH 03301-2598
Phone: (603) 789-9103
Fax: (603) 227-7832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0765223 New Hampshire

Profile Details

NPI number 1326552928
LBN Legal business name Fountain, Adam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2017
Last updated Dec 13th, 2023 - about 3 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 1326552928 NPPES
New Hampshire Other 076562-21 RN LICENSE

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