Ponarski, Roland

Ponarski, Roland is an sole proprietor health care provider with primary practice located at 102 Thomas Road Suite 104 , West Monroe LA 71291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ponarski, Roland can be contacted via phone (318) 329-8485.

Contact Information

Primary practice address
102 Thomas Road Suite 104 West Monroe LA 71291
Phone: (318) 329-8485
Fax: (318) 329-8489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 09892R Louisiana

Profile Details

NPI number 1104921741
LBN Legal business name Ponarski, Roland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Jan 20th, 2015 - about 9 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 1104921741 NPPES
Louisiana MEDICAID 1967777

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