Polanco Zacarias, Viarda Licelot
Polanco Zacarias, Viarda Licelot is an individual health care provider with primary practice located at 113 Liner Dr , Greenwood SC 29646-2311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Polanco Zacarias, Viarda Licelot can be contacted via phone (864) 941-8170.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MMD 37947 MD | South Carolina |
Profile Details
| NPI number | 1902202096 |
|---|---|
| LBN Legal business name | Polanco Zacarias, Viarda Licelot |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2014 |
| Last updated | Feb 2nd, 2024 - about 2 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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