Polk, Jonathan Daniel

Polk, Jonathan Daniel is an sole proprietor health care provider with primary practice located at 4800 Ne Stallings Dr Ste 114 , Nacogdoches TX 75965-1250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Polk, Jonathan Daniel can be contacted via phone (936) 569-0680.

Contact Information

Primary practice address
4800 Ne Stallings Dr Ste 114 Nacogdoches TX 75965-1250
Fax: (936) 205-4130
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N0372 Texas

Profile Details

NPI number 1952568552
LBN Legal business name Polk, Jonathan Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2008
Last updated Nov 18th, 2013 - about 11 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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