Joan Louise Pontius
LBN: Joan Louise Pontius
Joan Louise Pontius is an health care organization with primary practice located at 219 N Dixie Way Suite135, South Bend IN 46637-3369. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Joan Louise Pontius can be contacted via phone (574) 360-3305, or through Pontius, Joan Louise via phone (574) 360-3305.
Contact Information
Primary practice address
219 N Dixie Way Suite135
South Bend IN 46637-3369
Phone: (574) 360-3305
Fax: (574) 271-3740
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | Indiana | |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Indiana |
Profile Details
NPI number | 1336574748 |
---|---|
LBN Legal business name | Joan Louise Pontius |
DBA Doing business as | |
Authorized official | Pontius, Joan Louise LMHC |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 5th, 2013 |
Last updated | Sep 5th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336574748 | NPPES |
Indiana | MEDICAID | 1700138492 |
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