All Medicaid billing entities listing FOUNTAIN, JUSTIN (PRESIDENT/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Michigan | 1 | $75K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FOUNTAIN OF LIFE CHIROPRACTIC PC | PETOSKEY, MI | Chiropractor | $75K |