Willis, Fontaine

Willis, Fontaine is an sole proprietor health care provider with primary practice located at 4420 N Varsity Ave Apt 1040 , San Bernardino CA 92407-4636. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Willis, Fontaine can be contacted via phone (213) 949-6845.

Contact Information

Primary practice address
4420 N Varsity Ave Apt 1040 San Bernardino CA 92407-4636
Phone: (213) 949-6845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Y7940726 California

Profile Details

NPI number 1184215550
LBN Legal business name Willis, Fontaine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2021
Last updated Jan 28th, 2021 - about 5 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.

Request for update

Popular Providers