Pollom, Stephen H
Pollom, Stephen H is an individual health care provider with primary practice located at 1115 Ronald Reagan Pkwy Ste 318, Avon IN 46123-6910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pollom, Stephen H can be contacted via phone (317) 217-2600.Contact Information
Primary practice address
1115 Ronald Reagan Pkwy Ste 318
Avon IN 46123-6910
Phone: (317) 217-2600
Fax: (317) 217-2606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01024982A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01024982 | Indiana |
Profile Details
| NPI number | 1124062690 |
|---|---|
| LBN Legal business name | Pollom, Stephen H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jan 6th, 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 | 1124062690 | NPPES |
| Indiana | MEDICAID | 100060460 |
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