Pontius, Sandra K
Pontius, Sandra K is an individual health care provider with primary practice located at 284 Executive Park Dr Ste 100 , Concord NC 28025-1894. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pontius, Sandra K can be contacted via phone (704) 939-1100.Contact Information
Primary practice address
284 Executive Park Dr Ste 100
Concord NC 28025-1894
Phone: (704) 939-1100
Fax: (704) 939-1173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 104655 | North Carolina |
Profile Details
| NPI number | 1174530521 |
|---|---|
| LBN Legal business name | Pontius, Sandra K |
| Credentials | RN,ANP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Nov 24th, 2020 - about 6 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 | 1174530521 | NPPES |
| North Carolina | MEDICAID | 6113011 |
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