Polascik, Michael Andrew
Polascik, Michael Andrew is an individual health care provider with primary practice located at 3708 Northside Dr , Macon GA 31210-2404. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Polascik, Michael Andrew can be contacted via phone (478) 745-4206.Contact Information
Primary practice address
3708 Northside Dr
Macon GA 31210-2404
Phone: (478) 745-4206
Fax: (478) 254-5463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3716 | Georgia |
Profile Details
| NPI number | 1609899558 |
|---|---|
| LBN Legal business name | Polascik, Michael Andrew |
| Credentials | PT ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Sep 25th, 2019 - about 5 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 | 1609899558 | NPPES |
| Georgia | MEDICAID | 003158408A |
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