Ponder, Michael A

Ponder, Michael A is an individual health care provider with primary practice located at 2205 Pavilion Dr Suite 201, Kingsport TN 37660-4641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ponder, Michael A can be contacted via phone (423) 857-7650.

Contact Information

Primary practice address
2205 Pavilion Dr Suite 201 Kingsport TN 37660-4641
Phone: (423) 857-7650
Fax: (423) 857-7655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD19887 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101232014 Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9500424 North Carolina

Profile Details

NPI number 1831155944
LBN Legal business name Ponder, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 21st, 2017 - about 7 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 1831155944 NPPES
Tennessee Other P01074944 RAILROAD MEDICARE
Tennessee MEDICAID 3843357 RAILROAD MEDICARE
Tennessee MEDICAID 64011844 RAILROAD MEDICARE
Tennessee MEDICAID 1831155944 RAILROAD MEDICARE

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