Pollack, Ira A
Pollack, Ira A is an individual health care provider with primary practice located at 1 Jarrett White Rd # 9B-107 , Tripler Army Medical Center HI 96859-5001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Pollack, Ira A can be contacted via phone (808) 433-6014.Contact Information
Primary practice address
1 Jarrett White Rd # 9B-107
Tripler Army Medical Center HI 96859-5001
Phone: (808) 433-6014
Fax: (860) 776-2420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 217519 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 041022 | Connecticut |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 20809 | Hawaii |
Profile Details
| NPI number | 1760459614 |
|---|---|
| LBN Legal business name | Pollack, Ira A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Sep 10th, 2021 - about 5 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 | 1760459614 | NPPES |
| Connecticut | Other | 010041022CT01 | ANTHEM BC/BS |
| Connecticut | Other | 68548 | ANTHEM BC/BS |
| Connecticut | MEDICAID | 001410224 | ANTHEM BC/BS |
| Connecticut | Other | 32771 | ANTHEM BC/BS |
| Connecticut | Other | 310158 | ANTHEM BC/BS |
| Connecticut | Other | 0500815 | ANTHEM BC/BS |
| Connecticut | Other | 2V3108 | ANTHEM BC/BS |
| Connecticut | Other | J27188 | ANTHEM BC/BS |
| Connecticut | Other | 001410224-00 | ANTHEM BC/BS |
| Connecticut | Other | 041022 | ANTHEM BC/BS |
| Connecticut | MEDICAID | 2022940 | ANTHEM BC/BS |
| Connecticut | Other | 6013252-004 | ANTHEM BC/BS |
| Connecticut | Other | P2789075 | ANTHEM BC/BS |
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