Polcyn, Dawn M.
Polcyn, Dawn M. is an sole proprietor health care provider with primary practice located at 701 West Wetmore Rd. Rm. 168 Amphitheater Public Schools, Tucson AZ 85705-1547. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Polcyn, Dawn M. can be contacted via phone (520) 696-5237.Contact Information
Primary practice address
701 West Wetmore Rd. Rm. 168 Amphitheater Public Schools
Tucson AZ 85705-1547
Phone: (520) 696-5237
Fax: (520) 696-5067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | ||
| Behavioral Health & Social Service Providers / School | 103TS0200X | 3772694 | Arizona |
Profile Details
| NPI number | 1194880260 |
|---|---|
| LBN Legal business name | Polcyn, Dawn M. |
| Credentials | EDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Mar 29th, 2011 - about 14 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 | 1194880260 | NPPES |
| Arizona | MEDICAID | 142953 |
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