Polyakova, Iryna Vitaliyivna

Polyakova, Iryna Vitaliyivna is an individual health care provider with primary practice located at 1201 S Main St , Crown Point IN 46307-8481. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Polyakova, Iryna Vitaliyivna can be contacted via phone (219) 738-2100.

Contact Information

Primary practice address
1201 S Main St Crown Point IN 46307-8481
Phone: (219) 738-2100
Fax: (219) 933-2288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS15044 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02006069A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 02006069A Indiana

Profile Details

NPI number 1447633326
LBN Legal business name Polyakova, Iryna Vitaliyivna
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2015
Last updated Oct 16th, 2023 - about 3 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 1447633326 NPPES
Florida Other JK466 FL MEDICARE
Florida Other P02211193 FL MEDICARE

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