1437302858 NPI number — DR. WILL POLEC NMD

Table of content: DR. WILL POLEC NMD (NPI 1437302858)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437302858 NPI number — DR. WILL POLEC NMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POLEC
Provider First Name:
WILL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
NMD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437302858
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4320 N CAMPBELL AVE
Provider Second Line Business Mailing Address:
SUITE 234
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85718-6584
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-299-4100
Provider Business Mailing Address Fax Number:
520-299-4101

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4320 N CAMPBELL AVE
Provider Second Line Business Practice Location Address:
SUITE 234
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85718-6584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-299-4100
Provider Business Practice Location Address Fax Number:
520-299-4101
Provider Enumeration Date:
10/29/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 175F00000X , with the licence number:  01-635 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01-635 . This is a "STATE OF ARIZONA NATUROPATHIC PHYSICIANS BOARD OF MEDICAL EXAMINERS" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".