Polsemen, Mary Kay
Polsemen, Mary Kay is an sole proprietor health care provider with primary practice located at 3150 Crow Canyon Pl Ste 120, San Ramon CA 94583-1778. She recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as her primary health care specialty. Polsemen, Mary Kay can be contacted via phone (925) 830-8635.Contact Information
Primary practice address
3150 Crow Canyon Pl Ste 120
San Ramon CA 94583-1778
Phone: (925) 830-8635
Fax: (925) 830-8652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | 23832 | California |
Profile Details
| NPI number | 1275537177 |
|---|---|
| LBN Legal business name | Polsemen, Mary Kay |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jul 9th, 2010 - about 16 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 | 1275537177 | NPPES |
| California | Other | CY272A | MEDICARE PTAN |
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