Dr. Edward Phillips Polack
Surgery of the Hand Plastic and Reconstructive Surgery
1 Medical Park Suite 704
Wheeling
, West Virginia 26003
Dr. Edward Phillips Polack
Surgery of the Hand Plastic and Reconstructive Surgery
1 Medical Park Suite 704
Wheeling
, West Virginia 26003
(304) 243-3834
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About
Features
Specialties
- Surgery of the Hand
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Edward Phillips Polack
- 1 Medical Park Suite 704
- Wheeling, WV
- Zip : 26003
- Fax : (304) 243-3834
- Phone : (304) 243-3134
Second Address
- Dr. Edward Phillips Polack
- 1 Medical Park Suite 704
- Wheeling, WV
- Zip : 26003
- Fax : (304) 243-3834
- Phone : (304) 243-3134
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0105X | Surgery of the Hand | 11955 | WV |
| N | 2086S0105X | Surgery of the Hand | 35047399 | OH |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 11955 | WV |
| N | 2086S0122X | Plastic and Reconstructive Surgery | 35047399 | OH |
National Provider Identifier
| NPI | 1811982671 |
|---|---|
| Provider Name | Dr. Edward Phillips Polack |
| First Address | Wheeling, WV 26003 |
| Second Address | Wheeling, WV 26003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2005 |
| Last Update Date | 03/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0114270000 | (05) | WV |
| 0415214 | (05) | OH |
| 11955 | HMO (01) | |
| A72695 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.