Polansky, John D
Polansky, John D is an sole proprietor health care provider with primary practice located at 2460 Willamette St , Eugene OR 97405-3169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Polansky, John D can be contacted via phone (541) 683-3744.Contact Information
Primary practice address
2460 Willamette St
Eugene OR 97405-3169
Phone: (541) 683-3744
Fax: (541) 683-6672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 09541 | Oregon |
Profile Details
| NPI number | 1942208640 |
|---|---|
| LBN Legal business name | Polansky, John D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Mar 15th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942208640 | NPPES |
| Oregon | Other | 0000BHFRC | MEDICARE LEGACY NO. |
| Oregon | Other | 009139000 | MEDICARE LEGACY NO. |
| Oregon | MEDICAID | 161042 | MEDICARE LEGACY NO. |
| Oregon | Other | 180031534 | MEDICARE LEGACY NO. |
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