Polsen- Haas, Dianne

Polsen- Haas, Dianne is an individual health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Polsen- Haas, Dianne can be contacted via phone (863) 680-7000.

Contact Information

Primary practice address
1600 Lakeland Hills Blvd Lakeland FL 33805
Phone: (863) 680-7000
Fax: (866) 264-8519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207VC0200X ME69314 Florida

Profile Details

NPI number 1629030333
LBN Legal business name Polsen- Haas, Dianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jun 26th, 2012 - about 12 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 1629030333 NPPES
Florida MEDICAID 250765000

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