Polen, Geoffrey M

Polen, Geoffrey M is an individual health care provider with primary practice located at 500 S Cleveland Ave , Westerville OH 43081-8971. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Polen, Geoffrey M can be contacted via phone (740) 323-0272.

Contact Information

Primary practice address
500 S Cleveland Ave Westerville OH 43081-8971
Fax: (740) 323-1375
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 35074804P Ohio

Profile Details

NPI number 1942268107
LBN Legal business name Polen, Geoffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 13th, 2008 - about 18 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 1942268107 NPPES
Ohio Other 000000291153 ANTHEM BCBS
Ohio MEDICAID 2135353 ANTHEM BCBS

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