Pontisso, Jane A

Pontisso, Jane A is an sole proprietor health care provider with primary practice located at 1334 Sheridan Dr Suite 4, Lancaster OH 43130-3956. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Pontisso, Jane A can be contacted via phone (740) 687-9345.

Contact Information

Primary practice address
1334 Sheridan Dr Suite 4 Lancaster OH 43130-3956
Phone: (740) 687-9345
Fax: (740) 689-1459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 36-003276 Ohio

Profile Details

NPI number 1558441733
LBN Legal business name Pontisso, Jane A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Nov 5th, 2007 - about 17 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 1558441733 NPPES
Ohio MEDICAID 2402073
Ohio Other JASP04681

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