Provider Demographics
NPI:1518164912
Name:CHERYL POLLAK
Entity Type:Organization
Organization Name:CHERYL POLLAK
Other - Org Name:COMPREHENSIVE BRACE AND LIMB CENTER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLAK
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:330-337-8333
Mailing Address - Street 1:2235 E PERSHING ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-3478
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2235 E PERSHING ST
Practice Address - Street 2:SUITE F
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-3478
Practice Address - Country:US
Practice Address - Phone:330-337-8333
Practice Address - Fax:330-337-8373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5506840001Medicare NSC