Polsky, Michael Bruce
Polsky, Michael Bruce is an individual health care provider with primary practice located at 1000 Boulders Pkwy Ste 101 , North Chesterfield VA 23225-5515. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Polsky, Michael Bruce can be contacted via phone (804) 320-4243.Contact Information
Primary practice address
1000 Boulders Pkwy Ste 101
North Chesterfield VA 23225-5515
Phone: (804) 320-4243
Fax: (804) 622-0552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 0101241502 | Virginia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101241502 | Virginia |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 0101241502 | Virginia |
Profile Details
| NPI number | 1992816706 |
|---|---|
| LBN Legal business name | Polsky, Michael Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 20th, 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 | 1992816706 | NPPES |
| Virginia | Other | 72774 | SOUTHERN HEALTH CARENET |
| Virginia | Other | 7928840 | SOUTHERN HEALTH CARENET |
| Virginia | Other | 0685804 | SOUTHERN HEALTH CARENET |
| Virginia | Other | 1493245 | SOUTHERN HEALTH CARENET |
| Virginia | MEDICAID | 1992816706 | SOUTHERN HEALTH CARENET |
| Virginia | Other | 296430 | SOUTHERN HEALTH CARENET |
| Virginia | Other | 632061 | SOUTHERN HEALTH CARENET |
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