Poulos, John E.

Poulos, John E. is an individual health care provider with primary practice located at 2041 Valleygate Dr , Fayetteville NC 28304-3688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Poulos, John E. can be contacted via phone (910) 323-5203.

Contact Information

Primary practice address
2041 Valleygate Dr Fayetteville NC 28304-3688
Phone: (910) 323-5203
Fax: (910) 223-1621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 9801021 North Carolina

Profile Details

NPI number 1578596896
LBN Legal business name Poulos, John E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Aug 30th, 2019 - about 6 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 1578596896 NPPES
Other 1137E BCBS
Other 7302311-001 BCBS
MEDICAID 891137E BCBS

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