Pontzer, John Tucker Hayward
Pontzer, John Tucker Hayward is an individual health care provider with primary practice located at 1925 W Park Dr , North Wilkesboro NC 28659-3564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pontzer, John Tucker Hayward can be contacted via phone (336) 903-0147.Contact Information
Primary practice address
1925 W Park Dr
North Wilkesboro NC 28659-3564
Phone: (336) 903-0147
Fax: (336) 903-1687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200000936 | North Carolina |
Profile Details
| NPI number | 1952415200 |
|---|---|
| LBN Legal business name | Pontzer, John Tucker Hayward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Aug 14th, 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 | 1952415200 | NPPES |
| North Carolina | MEDICAID | 891267A |
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