Pollan, Susan B
Pollan, Susan B is an individual health care provider with primary practice located at 6349 Beach Blvd , Jacksonville FL 32216-2707. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Pollan, Susan B can be contacted via phone (904) 721-1919.Contact Information
Primary practice address
6349 Beach Blvd
Jacksonville FL 32216-2707
Phone: (904) 721-1919
Fax: (904) 721-1914
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 75361 | Massachusetts |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ME87957 | Massachusetts |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME87957 | Massachusetts |
Profile Details
NPI number | 1770584252 |
---|---|
LBN Legal business name | Pollan, Susan B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2005 |
Last updated | Feb 5th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770584252 | NPPES |
Massachusetts | MEDICAID | 3103081 | |
Massachusetts | Other | BP0135079 |
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