Polen, Samuel William

Polen, Samuel William is an individual health care provider with primary practice located at 1315 Roberts St , Camden SC 29020-3737. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Polen, Samuel William can be contacted via phone (803) 713-6140.

Contact Information

Primary practice address
1315 Roberts St Camden SC 29020-3737
Phone: (803) 713-6140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 012753 South Carolina
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 012753 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 012753 South Carolina

Profile Details

NPI number 1194721076
LBN Legal business name Polen, Samuel William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 28th, 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 1194721076 NPPES
South Carolina MEDICAID 127534

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