Provider Demographics
NPI:1457687253
Name:PONTIUS, BENJAMIN J (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:J
Last Name:PONTIUS
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Gender:M
Credentials:DC, MS
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Mailing Address - Street 1:35060 KENAI SPUR HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-7620
Mailing Address - Country:US
Mailing Address - Phone:907-420-4949
Mailing Address - Fax:907-420-4950
Practice Address - Street 1:35060 KENAI SPUR HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7621
Practice Address - Country:US
Practice Address - Phone:907-420-4949
Practice Address - Fax:907-420-4950
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2013-01-16
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Provider Licenses
StateLicense IDTaxonomies
AK499111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation