Provider Demographics
NPI:1386690659
Name:POLLARD, MICHAEL LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEE
Last Name:POLLARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 N LANSDOWNE AVE
Mailing Address - Street 2:SUITE # 1
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2073
Mailing Address - Country:US
Mailing Address - Phone:610-626-7300
Mailing Address - Fax:610-626-7302
Practice Address - Street 1:85 N LANSDOWNE AVE
Practice Address - Street 2:SUITE # 1
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2073
Practice Address - Country:US
Practice Address - Phone:610-626-7300
Practice Address - Fax:610-626-7302
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004189L111N00000X
MECR797111N00000X
MA1693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPO588107Medicare ID - Type Unspecified
PAU01483Medicare UPIN