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Individual
DOUGLAS R FONTEYNE
Active
Individual
DOUGLAS R FONTEYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001637
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263552
ANTHEM
VA
01
—
2995862
CIGNA
VA
01
—
350040203
RAILROAD MEDICARE
VA
Enumeration date
10/02/2006
Last updated
08/11/2008
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