Poltycia, Carla Rae

Poltycia, Carla Rae is an sole proprietor health care provider with primary practice located at 2000 Connecticut Ave , North Bend OR 97459. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Poltycia, Carla Rae can be contacted via phone (541) 756-9238.

Contact Information

Primary practice address
2000 Connecticut Ave North Bend OR 97459
Fax: (541) 756-9617
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1679783195
LBN Legal business name Poltycia, Carla Rae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers