Polen, Christopher L

Polen, Christopher L is an individual health care provider with primary practice located at 2240 Remount Rd , Gastonia NC 28054-4725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Polen, Christopher L can be contacted via phone (704) 671-5311.

Contact Information

Primary practice address
2240 Remount Rd Gastonia NC 28054-4725
Phone: (704) 671-5311
Fax: (704) 671-5308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 35071019 Ohio
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 20695 West Virginia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 2007-00565 North Carolina

Profile Details

NPI number 1225087760
LBN Legal business name Polen, Christopher L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Aug 4th, 2022 - about 4 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 1225087760 NPPES
South Carolina MEDICAID N0056C
South Carolina MEDICAID 5906659

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