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:
Health care specialties
Specialty | Code | License # | 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 8 months 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 | 1548217383 | NPPES |
Other | 001722622 | BLUE CROSS BLUE SHIELD | |
MEDICAID | 000504600 | BLUE CROSS BLUE SHIELD | |
Other | V006270 | BLUE CROSS BLUE SHIELD |
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