Polack, Edward Phillips
Polack, Edward Phillips is an individual health care provider with primary practice located at 1 Medical Park Suite 704, Wheeling WV 26003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Polack, Edward Phillips can be contacted via phone (304) 243-3134.Contact Information
Primary practice address
1 Medical Park Suite 704
Wheeling WV 26003
Phone: (304) 243-3134
Fax: (304) 243-3834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 35047399 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 11955 | West Virginia |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 35047399 | Ohio |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 11955 | West Virginia |
Profile Details
| NPI number | 1811982671 |
|---|---|
| LBN Legal business name | Polack, Edward Phillips |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jun 3rd, 2020 - about 6 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 | 1811982671 | NPPES |
| West Virginia | MEDICAID | 0114270000 | |
| West Virginia | Other | 11955 | |
| West Virginia | MEDICAID | 0415214 |
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