Ponec, Robert J

Ponec, Robert J is an individual health care provider with primary practice located at 875 Oak St Se Ste 3010, Salem OR 97301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ponec, Robert J can be contacted via phone (503) 399-7520.

Contact Information

Primary practice address
875 Oak St Se Ste 3010 Salem OR 97301
Fax: (503) 362-7344
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD20588 Oregon

Profile Details

NPI number 1356329049
LBN Legal business name Ponec, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1356329049 NPPES
Oregon MEDICAID 150133

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