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:
Health care specialties
Specialty | Code | License # | 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 14 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 | 1598700684 | NPPES |
Missouri | MEDICAID | 201840915 | |
Missouri | Other | P00298784 |
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