Polanco, Eufemio Contreras

Polanco, Eufemio Contreras is an sole proprietor health care provider with primary practice located at 1209 N Miller Rd , Buckeye AZ 85326-1043. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Polanco, Eufemio Contreras can be contacted via phone (623) 386-5785.

Contact Information

Primary practice address
1209 N Miller Rd Buckeye AZ 85326-1043
Fax: (623) 386-6673
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1426 Arizona

Profile Details

NPI number 1346464195
LBN Legal business name Polanco, Eufemio Contreras
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Aug 1st, 2012 - about 13 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 1346464195 NPPES
Arizona Other 86-0783428 TAX-ID

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