Polanco, Samuel

Polanco, Samuel is an individual health care provider with primary practice located at 327 Essex St Vision Optical, Lawrence MA 01840. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Polanco, Samuel can be contacted via phone (978) 689-4402.

Contact Information

Primary practice address
327 Essex St Vision Optical Lawrence MA 01840
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 4228 Massachusetts

Profile Details

NPI number 1225255995
LBN Legal business name Polanco, Samuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 19 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 1225255995 NPPES
Massachusetts MEDICAID 1526014

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