Polishuk, Paul Victor
Polishuk, Paul Victor is an individual health care provider with primary practice located at 215 S Hickory St Suite 114, Escondido CA 92025-4359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Polishuk, Paul Victor can be contacted via phone (760) 743-5111.Contact Information
Primary practice address
215 S Hickory St Suite 114
Escondido CA 92025-4359
Phone: (760) 743-5111
Fax: (858) 429-7934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G84309 | California |
Profile Details
| NPI number | 1487648754 |
|---|---|
| LBN Legal business name | Polishuk, Paul Victor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Dec 18th, 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 | 1487648754 | NPPES |
| California | MEDICAID | 00G843090 |
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