Polen, Christopher L
Polen, Christopher L is an individual health care provider with primary practice located at 2240 Remount Rd , Gastonia NC 28054-4725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Polen, Christopher L can be contacted via phone (704) 671-5311.Contact Information
Primary practice address
2240 Remount Rd
Gastonia NC 28054-4725
Phone: (704) 671-5311
Fax: (704) 671-5308
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 35071019 | Ohio |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 20695 | West Virginia |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2007-00565 | North Carolina |
Profile Details
NPI number | 1225087760 |
---|---|
LBN Legal business name | Polen, Christopher L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Aug 4th, 2022 - about 2 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 | 1225087760 | NPPES |
South Carolina | MEDICAID | N0056C | |
South Carolina | MEDICAID | 5906659 |
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