Provider Demographics
NPI:1649234048
Name:POLANSKY, JANET L (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:POLANSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1430
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-1430
Mailing Address - Country:US
Mailing Address - Phone:540-437-7989
Mailing Address - Fax:540-437-7984
Practice Address - Street 1:120 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:MOUNT JACKSON
Practice Address - State:VA
Practice Address - Zip Code:22842-9417
Practice Address - Country:US
Practice Address - Phone:540-477-3185
Practice Address - Fax:540-477-2666
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032735E207Q00000X
VA0101248151207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1417027608OtherGROUP NPI NUMBER
PA517635U6NMedicare ID - Type Unspecified
D41982Medicare UPIN