Poindexter, Noel Gerard
Poindexter, Noel Gerard is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Poindexter, Noel Gerard can be contacted via phone (865) 771-0919.Contact Information
Primary practice address
3551 Roger Brooke Dr
Fort Sam Houston TX 78234-4504
Phone: (865) 771-0919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN134650 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R0090672 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1115186 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 10380 | Tennessee |
Profile Details
| NPI number | 1104813591 |
|---|---|
| LBN Legal business name | Poindexter, Noel Gerard |
| Credentials | MSN-CRNA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Oct 9th, 2023 - about last year |
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 | 1104813591 | NPPES |
| Kentucky | Other | 000000323888 | BLUE CROSS/BLUE SHIELD |
| Kentucky | MEDICAID | 20021868A | BLUE CROSS/BLUE SHIELD |
| Kentucky | Other | 4023048 | BLUE CROSS/BLUE SHIELD |
| Kentucky | Other | 4023048 | BLUE CROSS/BLUE SHIELD |
| Kentucky | Other | P00632200 | BLUE CROSS/BLUE SHIELD |
| Kentucky | MEDICAID | 3630138 | BLUE CROSS/BLUE SHIELD |
| Kentucky | MEDICAID | 74005836 | BLUE CROSS/BLUE SHIELD |
| Kentucky | Other | 000000323888 | BLUE CROSS/BLUE SHIELD |
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