Ponn, Teresa Ann
Ponn, Teresa Ann is an individual health care provider with primary practice located at 185 Queen City Ave , Manchester NH 03101-7100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ponn, Teresa Ann can be contacted via phone (603) 668-3067.Contact Information
Primary practice address
185 Queen City Ave
Manchester NH 03101-7100
Phone: (603) 668-3067
Fax: (603) 668-0164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 13176 | New Hampshire |
Profile Details
| NPI number | 1245213461 |
|---|---|
| LBN Legal business name | Ponn, Teresa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Apr 13th, 2011 - about 13 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 | 1245213461 | NPPES |
| New Hampshire | MEDICAID | 30206042 |
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