Polokoff, Ellen
Polokoff, Ellen is an individual health care provider with primary practice located at 900 Main St S Bldg 2, Suite 101, Southbury CT 06488-4237. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Polokoff, Ellen can be contacted via phone (203) 262-2300.Contact Information
Primary practice address
900 Main St S Bldg 2, Suite 101
Southbury CT 06488-4237
Phone: (203) 262-2300
Fax: (203) 262-2305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 035653 | Connecticut |
Profile Details
| NPI number | 1487671178 |
|---|---|
| LBN Legal business name | Polokoff, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Oct 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487671178 | NPPES |
| Connecticut | MEDICAID | 001356535 |
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