Polston, Gregory R
Polston, Gregory R is an individual health care provider with primary practice located at 3600 Gilman Dr Ucsd Department Of Anesthesiology, La Jolla CA 92093-0801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Polston, Gregory R can be contacted via phone (619) 543-3162.Contact Information
Primary practice address
3600 Gilman Dr Ucsd Department Of Anesthesiology
La Jolla CA 92093-0801
Phone: (619) 543-3162
Fax: (907) 743-8284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | AK4664 | Alaska |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G70548 | California |
Profile Details
| NPI number | 1891719233 |
|---|---|
| LBN Legal business name | Polston, Gregory R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Oct 28th, 2008 - about 16 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 | 1891719233 | NPPES |
| Alaska | MEDICAID | MD4216 |
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