Polacek, Robert J

Polacek, Robert J is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Polacek, Robert J can be contacted via phone (859) 301-2000.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-2000
Fax: (859) 301-2066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 28524 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 28524 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28524 Kentucky

Profile Details

NPI number 1326085515
LBN Legal business name Polacek, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Aug 31st, 2011 - about 15 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 1326085515 NPPES
Kentucky Other 000000642753 ANTHEM BCBS PROVIDER #
Kentucky MEDICAID 2239554 ANTHEM BCBS PROVIDER #
Kentucky MEDICAID 200194410 ANTHEM BCBS PROVIDER #
Kentucky Other 4198961 ANTHEM BCBS PROVIDER #
Kentucky MEDICAID 64285240 ANTHEM BCBS PROVIDER #

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