Polk, Samuel C

Polk, Samuel C is an individual health care provider with primary practice located at 6325 Humphreys Blvd. , Memphis TN 38120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Polk, Samuel C can be contacted via phone (901) 522-7700.

Contact Information

Primary practice address
6325 Humphreys Blvd. Memphis TN 38120
Fax: (901) 259-2082
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 41433 Tennessee

Profile Details

NPI number 1437252780
LBN Legal business name Polk, Samuel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated May 4th, 2010 - about 15 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 1437252780 NPPES
Tennessee Other 41433 MEDICAL LICENSE

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