Polak, John H

Polak, John H is an individual health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Polak, John H can be contacted via phone (904) 805-1300.

Contact Information

Primary practice address
1350 Walton Way Augusta GA 30901-2612
Phone: (904) 805-1300
Fax: (904) 805-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 31100 Georgia

Profile Details

NPI number 1508892407
LBN Legal business name Polak, John H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 1st, 2008 - about 16 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 1508892407 NPPES
Georgia MEDICAID 000403807C
Georgia Other 623872
Georgia MEDICAID G31100
Georgia Other G31100

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