Dr. Matthew Allen Polk
Primary Podiatric Medicine
83 War Memorial Dr
Berkeley Springs
, West Virginia 25411
Dr. Matthew Allen Polk
Primary Podiatric Medicine
83 War Memorial Dr
Berkeley Springs
, West Virginia 25411
(304) 258-0508
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Matthew Allen Polk
- 83 War Memorial Dr
- Berkeley Springs, WV
- Zip : 25411-1737
- Fax : (304) 258-0508
- Phone : (304) 258-0506
Second Address
- Dr. Matthew Allen Polk
- 83 War Memorial Dr
- Berkeley Springs, WV
- Zip : 25411
- Fax : (304) 258-0508
- Phone : (304) 258-0506
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP1101X | Primary Podiatric Medicine | 0103301039 | VA |
| Y | 213EP1101X | Primary Podiatric Medicine | 02207 | WV |
National Provider Identifier
| NPI | 1053574392 |
|---|---|
| Provider Name | Dr. Matthew Allen Polk |
| First Address | Berkeley Springs, WV 25411-1737 |
| Second Address | Berkeley Springs, WV 25411 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2008 |
| Last Update Date | 08/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053574392 | (05) | WV |
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.