Pongonis, Raymond M
Pongonis, Raymond M is an individual health care provider with primary practice located at 3900 Stoneridge Ln Ste C , Dublin OH 43017-2289. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Pongonis, Raymond M can be contacted via phone (614) 366-9324.Contact Information
Primary practice address
3900 Stoneridge Ln Ste C
Dublin OH 43017-2289
Phone: (614) 366-9324
Fax: (614) 366-9339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 34.003156 | Ohio |
Profile Details
| NPI number | 1922085596 |
|---|---|
| LBN Legal business name | Pongonis, Raymond M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Mar 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922085596 | NPPES |
| Ohio | MEDICAID | 0461950 |
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