Fountain, David

Fountain, David is an sole proprietor health care provider with primary practice located at 726 Creedwood Lane , West Bend WI 53095. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Fountain, David can be contacted via phone (262) 388-6191.

Contact Information

Primary practice address
726 Creedwood Lane West Bend WI 53095
Phone: (262) 388-6191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 061900578 Wisconsin

Profile Details

NPI number 1942820428
LBN Legal business name Fountain, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2020
Last updated Apr 24th, 2020 - about 6 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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