Polsemen, Mary Kay

Polsemen, Mary Kay is an sole proprietor health care provider with primary practice located at 3150 Crow Canyon Pl Ste 120, San Ramon CA 94583-1778. She recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as her primary health care specialty. Polsemen, Mary Kay can be contacted via phone (925) 830-8635.

Contact Information

Primary practice address
3150 Crow Canyon Pl Ste 120 San Ramon CA 94583-1778
Phone: (925) 830-8635
Fax: (925) 830-8652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 23832 California

Profile Details

NPI number 1275537177
LBN Legal business name Polsemen, Mary Kay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Jul 9th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275537177 NPPES
California Other CY272A MEDICARE PTAN

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