Pollack, Lawrence A

Pollack, Lawrence A is an individual health care provider with primary practice located at 475 S Dobson Rd , Chandler AZ 85224-5605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pollack, Lawrence A can be contacted via phone (480) 728-3753.

Contact Information

Primary practice address
475 S Dobson Rd Chandler AZ 85224-5605
Fax: (480) 728-3753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 6007 Montana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25105 Arizona

Profile Details

NPI number 1467424986
LBN Legal business name Pollack, Lawrence A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 15th, 2009 - about 17 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 1467424986 NPPES
Other 000000641 BCBC ER GROUP
MEDICAID 0034714 BCBC ER GROUP

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