Ponn, Teresa Ann

Ponn, Teresa Ann is an individual health care provider with primary practice located at 185 Queen City Ave , Manchester NH 03101-7100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ponn, Teresa Ann can be contacted via phone (603) 668-3067.

Contact Information

Primary practice address
185 Queen City Ave Manchester NH 03101-7100
Phone: (603) 668-3067
Fax: (603) 668-0164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 13176 New Hampshire

Profile Details

NPI number 1245213461
LBN Legal business name Ponn, Teresa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Apr 13th, 2011 - about 15 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 1245213461 NPPES
New Hampshire MEDICAID 30206042

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