Polson, Aida R

Polson, Aida R is an individual health care provider with primary practice located at 777 Avenue H , Powell WY 82435-2260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Polson, Aida R can be contacted via phone (307) 754-7257.

Contact Information

Primary practice address
777 Avenue H Powell WY 82435-2260
Phone: (307) 754-7257
Fax: (307) 754-7730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M-9474 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7734A Wyoming

Profile Details

NPI number 1881649655
LBN Legal business name Polson, Aida R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Mar 23rd, 2016 - about 10 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 1881649655 NPPES
Wyoming MEDICAID 1881649655

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