Mr. Nathan W Polley
Orthopaedic Surgeon
1373 E Sr 62
Madison
, Indiana 47250-7328
Mr. Nathan W Polley
Orthopaedic Surgeon
1373 E Sr 62
Madison
, Indiana 47250-7328
(812) 801-0570
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Mr. Nathan W Polley
- Po Box 3395
- Evansville, IN
- Zip : 47732-3395
- Fax : (812) 801-0570
- Phone : (812) 801-0199
Second Address
- Mr. Nathan W Polley
- 1373 E Sr 62
- Madison, IN
- Zip : 47250-7328
- Fax : (812) 801-0773
- Phone : (812) 801-0848
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 01081100A | IN |
| N | 207X00000X | Orthopaedic Surgeon | 49607 | KY |
| N | 207X00000X | Orthopaedic Surgeon | TP300 | KY |
National Provider Identifier
| NPI | 1003105529 |
|---|---|
| Provider Name | Mr. Nathan W Polley |
| First Address | Evansville, IN 47732-3395 |
| Second Address | Madison, IN 47250-7328 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2011 |
| Last Update Date | 06/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201393180 | (05) | IN |
| 7100211870 | (05) | KY |
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.