Search › Indiana › 101YA0400X
Brian Fontaine, CADAC II
NPI 1871201152 · on the registry since 2022
Practice
- Address
- 2125 E 450 S
La Porte, IN 46350 - Phone
- (192) 608-4926
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 103TA0400X
106S00000X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana