Ponzio, Christine C

Ponzio, Christine C is an individual health care provider with primary practice located at 850 5Th St , Gonzales CA 93926-9491. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ponzio, Christine C can be contacted via phone (831) 675-3601.

Contact Information

Primary practice address
850 5Th St Gonzales CA 93926-9491
Phone: (831) 675-3601
Fax: (831) 675-3966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X G483377 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G48377 California

Profile Details

NPI number 1790782191
LBN Legal business name Ponzio, Christine C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 4th, 2016 - about 9 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 1790782191 NPPES
California MEDICAID RHM53884G

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