Pauli, Jon W

Pauli, Jon W is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pauli, Jon W can be contacted via phone (919) 784-7093.

Contact Information

Primary practice address
4420 Lake Boone Trl Raleigh NC 27607-7505
Phone: (919) 784-7093
Fax: (919) 784-7395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 31352 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31352 North Carolina

Profile Details

NPI number 1376521054
LBN Legal business name Pauli, Jon W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376521054 NPPES
Other 66247 BCBS
MEDICAID 8966247 BCBS

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