Polack, Edward Phillips

Polack, Edward Phillips is an individual health care provider with primary practice located at 1 Medical Park Suite 704, Wheeling WV 26003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Polack, Edward Phillips can be contacted via phone (304) 243-3134.

Contact Information

Primary practice address
1 Medical Park Suite 704 Wheeling WV 26003
Phone: (304) 243-3134
Fax: (304) 243-3834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 35047399 Ohio
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 11955 West Virginia
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 35047399 Ohio
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 11955 West Virginia

Profile Details

NPI number 1811982671
LBN Legal business name Polack, Edward Phillips
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jun 3rd, 2020 - about 5 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 1811982671 NPPES
West Virginia MEDICAID 0114270000
West Virginia Other 11955
West Virginia MEDICAID 0415214

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