Lafontaine, Amy G.

Lafontaine, Amy G. is an individual health care provider with primary practice located at 200 High Service Ave , North Providence RI 02904-5113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lafontaine, Amy G. can be contacted via phone (401) 456-3000.

Contact Information

Primary practice address
200 High Service Ave North Providence RI 02904-5113
Phone: (401) 456-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00362 Rhode Island

Profile Details

NPI number 1659346104
LBN Legal business name Lafontaine, Amy G.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Feb 13th, 2012 - about 14 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 1659346104 NPPES
Rhode Island Other 29687-6 BLUECROSS BLUESHIELD
Rhode Island MEDICAID 9004038 BLUECROSS BLUESHIELD
Rhode Island Other 412788 BLUECROSS BLUESHIELD
Rhode Island Other P00309459 BLUECROSS BLUESHIELD

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