Ponce, Sean Anthony
Ponce, Sean Anthony is an individual health care provider with primary practice located at 3802 S 700 E , Salt Lake City UT 84106-1182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Ponce, Sean Anthony can be contacted via phone (801) 264-6004.Contact Information
Primary practice address
3802 S 700 E
Salt Lake City UT 84106-1182
Phone: (801) 264-6004
Fax: (801) 264-6098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 4976571-1205 | Utah |
Profile Details
| NPI number | 1376577049 |
|---|---|
| LBN Legal business name | Ponce, Sean Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Apr 29th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376577049 | NPPES |
| Utah | MEDICAID | 1376577049 |
Popular Providers
-
Yellott, Chesley
150 E Burr Blvd , Kearneysville WV 25430-4793 -
Steier, Paul J
1 Serenity Ln , Coburg OR 97408-9350 -
Greenwood, Nick Carl
10 W Broadway Suite 820, Salt Lake City UT 84101-2002 -
Farrell, Michael J.
520 N Main St Ste 336 , Heber City UT 84032-1216 -
Hale, Micah D
1390 Market St Ste 200 , San Francisco CA 94102-5404 -
De La Garza, Amy Noel
807 E South Temple Ste 101 , Salt Lake City UT 84102-1358 -
Haskic, Amir
2870 E 3300 S , Salt Lake City UT 84109-2821 -
Davis, Timothy E.
303 S Nappanee St , Elkhart IN 46514-2066