Polk, Gerald

Polk, Gerald is an sole proprietor health care provider with primary practice located at 2775 State Route 39 , Shelby OH 44875-9466. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as his primary health care specialty. Polk, Gerald can be contacted via phone (419) 747-3322.

Contact Information

Primary practice address
2775 State Route 39 Shelby OH 44875-9466
Phone: (419) 747-3322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1831696970
LBN Legal business name Polk, Gerald
Credentials CDCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2018
Last updated Apr 6th, 2018 - about 7 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.

Request for update

Popular Providers