Provider Demographics
NPI:1518554922
Name:POLLETT, GEORGE E JR
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:E
Last Name:POLLETT
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 SUSSEX PLACE DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8086
Mailing Address - Country:US
Mailing Address - Phone:614-554-7509
Mailing Address - Fax:
Practice Address - Street 1:3011 SUSSEX PLACE DR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8086
Practice Address - Country:US
Practice Address - Phone:614-554-7509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-31
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSM517140374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide