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Contact Information

CHARLES E FONTENOT, MD
1535 W MAIN STREET
VILLE PLATTE, LA70586
 Phone: 337-363-5521
 Fax: 337-363-9134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CHARLES E FONTENOT · (Male)

NPI Number 1417992413
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 010529
  • LA Medicaid 1101923
  • LA Other 5J379 MEDICARE INDIVIDUAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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