Polacheck, Elizabeth Anne

Polacheck, Elizabeth Anne is an individual health care provider with primary practice located at 3033 W Layton Ave Ste 201, Greenfield WI 53221-2628. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Polacheck, Elizabeth Anne can be contacted via phone (414) 727-8199.

Contact Information

Primary practice address
3033 W Layton Ave Ste 201 Greenfield WI 53221-2628
Phone: (414) 727-8199
Fax: (414) 727-8350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35784-020 Wisconsin

Profile Details

NPI number 1528115250
LBN Legal business name Polacheck, Elizabeth Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Mar 12th, 2021 - about 3 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 1528115250 NPPES
Wisconsin MEDICAID 32041800

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