Pontius, Daphne
Pontius, Daphne is an individual health care provider with primary practice located at 621 Memorial Dr Ste 403 , South Bend IN 46601-1074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Pontius, Daphne can be contacted via phone (574) 647-1405.Contact Information
Primary practice address
621 Memorial Dr Ste 403
South Bend IN 46601-1074
Phone: (574) 647-1405
Fax: (574) 647-3970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 71012429A | Indiana |
Profile Details
| NPI number | 1700403581 |
|---|---|
| LBN Legal business name | Pontius, Daphne |
| Credentials | APRN WHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2020 |
| Last updated | Nov 1st, 2023 - about 3 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 | 1700403581 | NPPES |
| Indiana | MEDICAID | 300061190 |
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