Polster, Brenda Kay

Polster, Brenda Kay is an individual health care provider with primary practice located at 744 E 3Rd St , Bloomington IN 47405-3603. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Technician/Technologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Low Vision. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Low Vision is her primary health care specialty. Polster, Brenda Kay can be contacted via phone (812) 855-8436.

Contact Information

Primary practice address
744 E 3Rd St Bloomington IN 47405-3603
Phone: (812) 855-8436
Fax: (812) 855-1683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X 31002137A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Low Vision 225XL0004X 31002137A Indiana

Profile Details

NPI number 1275600306
LBN Legal business name Polster, Brenda Kay
Credentials B.S., O.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jan 22nd, 2019 - about 6 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 1275600306 NPPES
Indiana MEDICAID 200854470
Indiana Other 000000584866

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