Ponce, Aida B.

Ponce, Aida B. is an sole proprietor health care provider with primary practice located at 144 N Frost Dr Suite 4, Saginaw MI 48638-7186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Ponce, Aida B. can be contacted via phone (989) 790-7665.

Contact Information

Primary practice address
144 N Frost Dr Suite 4 Saginaw MI 48638-7186
Phone: (989) 790-7665
Fax: (989) 790-9147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ABP040553 Michigan

Profile Details

NPI number 1598714396
LBN Legal business name Ponce, Aida B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Mar 31st, 2021 - about 5 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 1598714396 NPPES
Michigan Other 3507333702 BLUE CROSS ID#
Michigan Other P60002 BLUE CROSS ID#
Michigan Other 0400553 BLUE CROSS ID#
Michigan MEDICAID 1587050 BLUE CROSS ID#

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