Polousky, John D
Polousky, John D is an individual health care provider with primary practice located at 1 Perkins Sq , Akron OH 44308-1063. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Polousky, John D can be contacted via phone (330) 543-3500.Contact Information
Primary practice address
1 Perkins Sq
Akron OH 44308-1063
Phone: (330) 543-3500
Fax: (330) 543-5001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 35.139315 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.139315 | Ohio |
Profile Details
| NPI number | 1639285109 |
|---|---|
| LBN Legal business name | Polousky, John D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Mar 18th, 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 | 1639285109 | NPPES |
| Texas | MEDICAID | 353969401 | |
| Texas | MEDICAID | 353969403 |
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