Pollack, Matthew R.

Pollack, Matthew R. is an sole proprietor health care provider with primary practice located at 2 Medical Park Rd Suite 104, Columbia SC 29203-6875. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Pollack, Matthew R. can be contacted via phone (803) 434-6781.

Contact Information

Primary practice address
2 Medical Park Rd Suite 104 Columbia SC 29203-6875
Phone: (803) 434-6781
Fax: (803) 434-8377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28866 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 28866 South Carolina

Profile Details

NPI number 1437230364
LBN Legal business name Pollack, Matthew R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Dec 1st, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437230364 NPPES
South Carolina Other P00883441 RR MEDICARE ID
South Carolina MEDICAID PA4646 RR MEDICARE ID
South Carolina MEDICAID 288664 RR MEDICARE ID

Popular Providers