Polhamus, William R

Polhamus, William R is an individual health care provider with primary practice located at 1400 Johnston Willis Dr Suite A, Richmond VA 23235-4765. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Polhamus, William R can be contacted via phone (804) 379-8088.

Contact Information

Primary practice address
1400 Johnston Willis Dr Suite A Richmond VA 23235-4765
Phone: (804) 379-8088
Fax: (804) 794-6067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110001563 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001563 Virginia

Profile Details

NPI number 1629011226
LBN Legal business name Polhamus, William R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 15th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629011226 NPPES
Virginia Other 0536798 AETNA HMO
Virginia Other 287174 AETNA HMO
Virginia Other 540885859 AETNA HMO
Virginia Other 540885859 AETNA HMO
Virginia MEDICAID 008947104 AETNA HMO
Virginia Other 540885859 AETNA HMO
Virginia Other 540885859 AETNA HMO
Virginia Other 0900325 AETNA HMO
Virginia Other 31213 AETNA HMO
Virginia Other 540885859 AETNA HMO
Virginia Other 100679 AETNA HMO
Virginia Other 540885859 AETNA HMO
Virginia Other 540885859 AETNA HMO
Virginia Other 540885859 AETNA HMO
Virginia Other 540885859 AETNA HMO
Virginia Other P00011038 AETNA HMO

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