Polehna, Pavel

Polehna, Pavel is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Polehna, Pavel can be contacted via phone (360) 254-1240.

Contact Information

Primary practice address
700 Ne 87Th Ave Vancouver WA 98664-1913
Fax: (360) 397-3128
Website:

Profile Details

NPI number 1427144583
LBN Legal business name Polehna, Pavel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427144583 NPPES
Washington MEDICAID 8464547

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