Poth, Robert Alexander

Poth, Robert Alexander is an individual health care provider with primary practice located at 624 Quaker Ln Suite 200 D, High Point NC 27262-3832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Poth, Robert Alexander can be contacted via phone (336) 878-6101.

Contact Information

Primary practice address
624 Quaker Ln Suite 200 D High Point NC 27262-3832
Phone: (336) 878-6101
Fax: (336) 878-6155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD067652L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006-01965 North Carolina

Profile Details

NPI number 1376536789
LBN Legal business name Poth, Robert Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376536789 NPPES
North Carolina MEDICAID 5906078
North Carolina MEDICAID NC1154
North Carolina MEDICAID 0017550100007

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