Scivoletti-Polan, Nicole Anne
Scivoletti-Polan, Nicole Anne is an individual health care provider with primary practice located at 900 Medical Center Dr Suite 201, Sewell NJ 08080-2358. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Scivoletti-Polan, Nicole Anne can be contacted via phone (844) 542-2273.Contact Information
Primary practice address
900 Medical Center Dr Suite 201
Sewell NJ 08080-2358
Phone: (844) 542-2273
Fax: (856) 218-2101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MB08768700 | New Jersey |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | OS016572 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | OS016572 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MB08768700 | New Jersey |
Profile Details
| NPI number | 1699098095 |
|---|---|
| LBN Legal business name | Scivoletti-Polan, Nicole Anne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2010 |
| Last updated | Feb 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699098095 | NPPES |
| Pennsylvania | MEDICAID | 102868773001 | |
| Pennsylvania | MEDICAID | 356662 | |
| Pennsylvania | MEDICAID | 0356662 |
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