Ponitz, Kenneth C
Ponitz, Kenneth C is an individual health care provider with primary practice located at 4916 Overton Plz , Fort Worth TX 76109-4415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ponitz, Kenneth C can be contacted via phone (817) 529-1144.Contact Information
Primary practice address
4916 Overton Plz
Fort Worth TX 76109-4415
Phone: (817) 529-1144
Fax: (817) 334-0235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | F7572 | Texas |
Profile Details
| NPI number | 1902892995 |
|---|---|
| LBN Legal business name | Ponitz, Kenneth C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Sep 23rd, 2009 - about 15 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 | 1902892995 | NPPES |
| Texas | MEDICAID | 115458501 |
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