Polonchak Educational Associates

LBN: Polonchak Educational Associates
Polonchak Educational Associates is an health care organization with primary practice located at 129 E. German St. , Shepherdstown WV 25443. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Polonchak Educational Associates can be contacted via phone (304) 876-3022, or through Polonchak, Cathy via phone (304) 876-1421.

Contact Information

Primary practice address
129 E. German St. Shepherdstown WV 25443
Phone: (304) 876-3022
Fax: (304) 876-1421
Website:
Map and Directions
Authorized official contact:
Name: Polonchak, Cathy LICSW
Phone: (304) 876-1421

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X DP00940860 West Virginia

Profile Details

NPI number 1720294226
LBN Legal business name Polonchak Educational Associates
DBA Doing business as
Authorized official Polonchak, Cathy LICSW
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Jun 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720294226 NPPES
West Virginia Other 1598984833 NIP TYPE I

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