Polich, Fallon N

Polich, Fallon N is an sole proprietor health care provider with primary practice located at 590 Allison St , Ashland OR 97520-2910. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Polich, Fallon N can be contacted via phone (406) 868-6458.

Contact Information

Primary practice address
590 Allison St Ashland OR 97520-2910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 201909188RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202110122NP-PP Oregon

Profile Details

NPI number 1386311157
LBN Legal business name Polich, Fallon N
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2021
Last updated Nov 5th, 2021 - 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.

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