Polak, Rachael Marie

Polak, Rachael Marie is an individual health care provider with primary practice located at 405 W Grand Ave , Dayton OH 45405-7538. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Polak, Rachael Marie can be contacted via phone (937) 723-3841.

Contact Information

Primary practice address
405 W Grand Ave Dayton OH 45405-7538
Phone: (937) 723-3841
Fax: (937) 723-4209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 856862 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN.CNP.0031107 Ohio

Profile Details

NPI number 1346882974
LBN Legal business name Polak, Rachael Marie
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2019
Last updated May 5th, 2022 - 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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