National Provider Identifier Database

MARY N FONTENOT
Vehicle Modifications

A contractor who makes modifications to private vehicles to accommodate a health condition.


Contact Information

MARY N FONTENOT
1324 ROSETTA ST
LAKE CHARLES, LA70607-1932
Phone: 337-912-8617
Fax:
Website:
Specialty Taxonomy Code
* Vehicle Modifications 171WV0202X

* Indicates primary specialty

NPI Profile & details for MARY N FONTENOT

NPI Number 1346744042
Credentials
Entity Individual
Enumeration date 03/19/2018
Last updated 03/19/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • LA License #: 008907424
  • LA Medicaid: 882717925
Hospital affiliation n/a

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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