Pollack, Elliot S

Pollack, Elliot S is an individual health care provider with primary practice located at 133 Hartford Ave , East Granby CT 06026-9519. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Pollack, Elliot S can be contacted via phone (860) 653-4708.

Contact Information

Primary practice address
133 Hartford Ave East Granby CT 06026-9519
Phone: (860) 653-4708
Fax: (860) 653-6249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000144 Connecticut

Profile Details

NPI number 1073542312
LBN Legal business name Pollack, Elliot S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jan 11th, 2008 - about 16 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 1073542312 NPPES
Connecticut Other 0869800001 MEDICARE DME
Connecticut Other 0869800002 MEDICARE DME
Connecticut Other 0610129323 MEDICARE DME

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