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Contact Information

RILEY N FONTAINE, MSAT, ATC, OTC
230 CLEARFIELD AVE
VIRGINIA BEACH, VA23462
 Phone: 757-321-3300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RILEY N FONTAINE · (Female)

NPI Number 1700276821
Status Active
Credentials MSAT, ATC, OTC
Entity Individual
Enumeration date 01/27/2015
Last updated 07/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0126002171
  • Other 16-0804 ORTHOPAEDIC TECHNOLOGIST CERTIFICATION
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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