Kuisso Ponkam, Bertille

Kuisso Ponkam, Bertille is an individual health care provider with primary practice located at 615 Saint George Square Ct Ste 300 , Winston Salem NC 27103-1368. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Kuisso Ponkam, Bertille can be contacted via phone (203) 683-5946.

Contact Information

Primary practice address
615 Saint George Square Ct Ste 300 Winston Salem NC 27103-1368
Fax: (203) 306-4040
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1265054779
LBN Legal business name Kuisso Ponkam, Bertille
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2020
Last updated Nov 27th, 2023 - about 2 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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