Provider Demographics
NPI:1689838021
Name:POLANSKY, JOHN BENNETT (RT(R),RDCS,RVT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:BENNETT
Last Name:POLANSKY
Suffix:
Gender:M
Credentials:RT(R),RDCS,RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10560 CARROUSEL WOODS DR
Mailing Address - Street 2:
Mailing Address - City:NEW MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44442-7735
Mailing Address - Country:US
Mailing Address - Phone:330-542-0593
Mailing Address - Fax:
Practice Address - Street 1:10560 CARROUSEL WOODS DR
Practice Address - Street 2:
Practice Address - City:NEW MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:44442-7735
Practice Address - Country:US
Practice Address - Phone:330-542-0593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography