Van Rensburg, Polly Whitman
Van Rensburg, Polly Whitman is an sole proprietor health care provider with primary practice located at 8505 E Valley View Rd , Scottsdale AZ 85250-6768. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Van Rensburg, Polly Whitman can be contacted via phone (480) 484-5077.Contact Information
Primary practice address
8505 E Valley View Rd
Scottsdale AZ 85250-6768
Phone: (480) 484-5077
Fax: (480) 484-5106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona |
Profile Details
| NPI number | 1437296365 |
|---|---|
| LBN Legal business name | Van Rensburg, Polly Whitman |
| Credentials | PH. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 26th, 2007 - about 17 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 | 1437296365 | NPPES |
| Arizona | MEDICAID | 626129 |
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