Polski, Jacek M.
Polski, Jacek M. is an individual health care provider with primary practice located at 2451 University Hospital Dr Fl 1 , Mobile AL 36617-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Polski, Jacek M. can be contacted via phone (251) 471-7790.Contact Information
Primary practice address
2451 University Hospital Dr Fl 1
Mobile AL 36617-2300
Phone: (251) 471-7790
Fax: (251) 471-7096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 23440 | Alabama |
Profile Details
| NPI number | 1760437727 |
|---|---|
| LBN Legal business name | Polski, Jacek M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Mar 3rd, 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 | 1760437727 | NPPES |
| Alabama | MEDICAID | 009932350 | |
| Alabama | Other | 11-00206 | |
| Alabama | MEDICAID | 1430480 | |
| Alabama | MEDICAID | 00122325 | |
| Alabama | MEDICAID | 009932340 | |
| Alabama | MEDICAID | 260555400 | |
| Alabama | Other | 51097767 | |
| Alabama | Other | 51097771 |
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