Pontius, Michael Hall
Pontius, Michael Hall is an sole proprietor health care provider with primary practice located at 715 Lincoln Ctr , Stockton CA 95207-2644. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pontius, Michael Hall can be contacted via phone (209) 477-0726.Contact Information
Primary practice address
715 Lincoln Ctr
Stockton CA 95207-2644
Phone: (209) 477-0726
Fax: (209) 477-8192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7033 | California |
Profile Details
| NPI number | 1609916246 |
|---|---|
| LBN Legal business name | Pontius, Michael Hall |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Nov 23rd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609916246 | NPPES |
| California | MEDICAID | SD0070330 |
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