Polk, Richard
Polk, Richard is an individual health care provider with primary practice located at N546 Schroeter Dr , Random Lake WI 53075-1272. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Polk, Richard can be contacted via phone (920) 207-3550.Contact Information
Primary practice address
N546 Schroeter Dr
Random Lake WI 53075-1272
Phone: (920) 207-3550
Fax: (920) 994-4606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4734-024 | Wisconsin |
Profile Details
| NPI number | 1225233323 |
|---|---|
| LBN Legal business name | Polk, Richard |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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