Ponstingl, Raana J

Ponstingl, Raana J is an individual health care provider with primary practice located at 3635 Vista At Grand Boulevard , Saint Louis MO 63110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Ponstingl, Raana J can be contacted via phone (314) 268-7725.

Contact Information

Primary practice address
3635 Vista At Grand Boulevard Saint Louis MO 63110
Phone: (314) 268-7725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 36343 Missouri

Profile Details

NPI number 1598700684
LBN Legal business name Ponstingl, Raana J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 2nd, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598700684 NPPES
Missouri MEDICAID 201840915
Missouri Other P00298784

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