Polk, Christina Rose

Polk, Christina Rose is an individual health care provider with primary practice located at 42669 Garfield Rd , Clinton Twp MI 48038-5036. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Polk, Christina Rose can be contacted via phone (586) 412-5321.

Contact Information

Primary practice address
42669 Garfield Rd Clinton Twp MI 48038-5036
Phone: (586) 412-5321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 640102524 Michigan

Profile Details

NPI number 1568759777
LBN Legal business name Polk, Christina Rose
Credentials MA LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2011
Last updated Jul 8th, 2011 - about 15 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 1568759777 NPPES
Michigan Other 750910402 BLUE CROSS

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