Polson, Eric B

Polson, Eric B is an individual health care provider with primary practice located at 1935 County Road B2 W Ste 405 , Roseville MN 55113-2797. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Polson, Eric B can be contacted via phone (651) 635-0578.

Contact Information

Primary practice address
1935 County Road B2 W Ste 405 Roseville MN 55113-2797
Phone: (651) 635-0578
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2601 Minnesota

Profile Details

NPI number 1871672386
LBN Legal business name Polson, Eric B
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Sep 30th, 2019 - about 5 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 1871672386 NPPES
Minnesota MEDICAID 990824200

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