Polich, Christopher Edward
Polich, Christopher Edward is an individual health care provider with primary practice located at 590 Court Street Family Medicine, Keene NH 03431. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Polich, Christopher Edward can be contacted via phone (603) 354-5400.Contact Information
Primary practice address
590 Court Street Family Medicine
Keene NH 03431
Phone: (603) 354-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 050616-23-03 | New Hampshire |
Profile Details
| NPI number | 1154318178 |
|---|---|
| LBN Legal business name | Polich, Christopher Edward |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jan 24th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154318178 | NPPES |
| Vermont | MEDICAID | 1014062 | |
| Vermont | MEDICAID | 3114961 |
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