Pons, Roger Karl

Pons, Roger Karl is an sole proprietor health care provider with primary practice located at 315 S 13Th St Ste 3 , Herrin IL 62948-3666. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Pons, Roger Karl can be contacted via phone (618) 988-6157.

Contact Information

Primary practice address
315 S 13Th St Ste 3 Herrin IL 62948-3666
Phone: (618) 988-6157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME102585 Florida
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME102585 Florida
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 036167569 Illinois

Profile Details

NPI number 1548217383
LBN Legal business name Pons, Roger Karl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Jan 23rd, 2024 - about 2 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 1548217383 NPPES
Other 001722622 BLUE CROSS BLUE SHIELD
MEDICAID 000504600 BLUE CROSS BLUE SHIELD
Other V006270 BLUE CROSS BLUE SHIELD

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