Poth, Robert Alexander
Poth, Robert Alexander is an individual health care provider with primary practice located at 624 Quaker Ln Suite 200 D, High Point NC 27262-3832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Poth, Robert Alexander can be contacted via phone (336) 878-6101.Contact Information
Primary practice address
624 Quaker Ln Suite 200 D
High Point NC 27262-3832
Phone: (336) 878-6101
Fax: (336) 878-6155
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD067652L | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2006-01965 | North Carolina |
Profile Details
NPI number | 1376536789 |
---|---|
LBN Legal business name | Poth, Robert Alexander |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2005 |
Last updated | Jul 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376536789 | NPPES |
North Carolina | MEDICAID | 5906078 | |
North Carolina | MEDICAID | NC1154 | |
North Carolina | MEDICAID | 0017550100007 |
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