Polhemus, Mark Edward
Polhemus, Mark Edward is an individual health care provider with primary practice located at 715 Dr Martin Luther King Jr Ave Ne Ste 201 , Albuquerque NM 87102-3667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Polhemus, Mark Edward can be contacted via phone (505) 727-3020.Contact Information
Primary practice address
715 Dr Martin Luther King Jr Ave Ne Ste 201
Albuquerque NM 87102-3667
Phone: (505) 727-3020
Fax: (505) 727-9590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 261872 | New York |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD2022-1151 | New Mexico |
Profile Details
| NPI number | 1891027512 |
|---|---|
| LBN Legal business name | Polhemus, Mark Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2010 |
| Last updated | Feb 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891027512 | NPPES |
| New York | MEDICAID | 03368756 |
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