Polk, Walter Earl
Polk, Walter Earl is an individual health care provider with primary practice located at 543 Country Ridge Circle , Bel Air MD 21015. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Polk, Walter Earl can be contacted via phone (410) 569-0007.Contact Information
Primary practice address
543 Country Ridge Circle
Bel Air MD 21015
Phone: (410) 569-0007
Fax: (410) 569-3738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1526 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 01526 | Maryland |
Profile Details
| NPI number | 1376551291 |
|---|---|
| LBN Legal business name | Polk, Walter Earl |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Mar 1st, 2022 - about 4 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 | 1376551291 | NPPES |
| Maryland | MEDICAID | 189931700 |
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