Polashenski, Edward Stanley
Polashenski, Edward Stanley is an individual health care provider with primary practice located at 128 W 14Th St , Hazleton PA 18201-3266. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Polashenski, Edward Stanley can be contacted via phone (570) 455-7677.Contact Information
Primary practice address
128 W 14Th St
Hazleton PA 18201-3266
Phone: (570) 455-7677
Fax: (570) 455-7627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 05004597L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 05004597L | Pennsylvania |
Profile Details
| NPI number | 1780668061 |
|---|---|
| LBN Legal business name | Polashenski, Edward Stanley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Feb 19th, 2020 - about 4 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 | 1780668061 | NPPES |
| Pennsylvania | MEDICAID | 0010140830002 | |
| Pennsylvania | Other | 060548 |
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