Pontious, James Michael

Pontious, James Michael is an individual health care provider with primary practice located at 302 N Independence Street Suite 700, Enid OK 73701-4046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pontious, James Michael can be contacted via phone (580) 249-3795.

Contact Information

Primary practice address
302 N Independence Street Suite 700 Enid OK 73701-4046
Phone: (580) 249-3795
Fax: (580) 234-3299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12733 Oklahoma

Profile Details

NPI number 1457398141
LBN Legal business name Pontious, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 24th, 2021 - about 3 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 1457398141 NPPES
Oklahoma MEDICAID 100130040 A
Oklahoma MEDICAID 100130040C

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