Pollock, Jill D
Pollock, Jill D is an individual health care provider with primary practice located at 1115 N Grand Ave Ste 100, Pueblo CO 81003. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Pollock, Jill D can be contacted via phone (719) 562-4414.Contact Information
Primary practice address
1115 N Grand Ave Ste 100
Pueblo CO 81003
Phone: (719) 562-4414
Fax: (719) 562-4415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2010 | Colorado |
Profile Details
| NPI number | 1376614784 |
|---|---|
| LBN Legal business name | Pollock, Jill D |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1376614784 | NPPES |
| Colorado | MEDICAID | 035311 |
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