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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1770584252 NPPES
Massachusetts MEDICAID 3103081
Massachusetts Other BP0135079

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