Poliskie, Michael Kenneth

Poliskie, Michael Kenneth is an individual health care provider with primary practice located at 13420 Newport Ave Ste E , Tustin CA 92780-3745. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Poliskie, Michael Kenneth can be contacted via phone (714) 352-5550.

Contact Information

Primary practice address
13420 Newport Ave Ste E Tustin CA 92780-3745
Phone: (714) 352-5550
Fax: (714) 352-5599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4530 California

Profile Details

NPI number 1477658391
LBN Legal business name Poliskie, Michael Kenneth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 16th, 2019 - 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 1477658391 NPPES
California Other E4530 STATE LICENSE

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