Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 0101234693 | VA |
NPI | 1407846728 |
---|---|
Provider Name | Dr. Matthew E Pollard |
First Address | Fishersville, VA 22939-0388 |
Second Address | Fishersville, VA 22939-2273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 17/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0424430 | CIGNA (01) | VA |
186435 | ANTHEM SERVICES (01) | VA |
2141705 | MAMSI/ALLIANCE (01) | VA |
413777 | SOUTHERN HEALTH (01) | VA |
610389700 | DEPARTMENT OF LABOR (01) | VA |
72313 | (05) | VA |
H64458 | (02) | |
P00319320 | MEDICARE PIN (01) | VA |