Individual
JON C TER POORTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 PENNY LN, CONCORD, NC 28025-1221
(704) 784-5901
(704) 721-0413
Mailing address
335 PENNY LN, CONCORD, NC 28025-1221
(704) 784-5901
(702) 721-0413
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2000-00323
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70014929
MEDICARE RAILROAD
NC
05
—
89126RR
—
NC
Enumeration date
12/21/2005
Last updated
02/12/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us