Polanshek, Mark Mumford
Polanshek, Mark Mumford is an individual health care provider with primary practice located at 4707 Buckingham Ct , Chester VA 23831-4261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Polanshek, Mark Mumford can be contacted via phone (804) 796-2300.Contact Information
Primary practice address
4707 Buckingham Ct
Chester VA 23831-4261
Phone: (804) 796-2300
Fax: (804) 751-4815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 0101041167 | Virginia |
Profile Details
| NPI number | 1356473847 |
|---|---|
| LBN Legal business name | Polanshek, Mark Mumford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356473847 | NPPES |
| Virginia | MEDICAID | 6702481 |
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