Provider Demographics
NPI:1780139907
Name:POLGAR, AIMEE MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:MARIE
Last Name:POLGAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 BALMORAL WAY
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2416
Mailing Address - Country:US
Mailing Address - Phone:440-668-4740
Mailing Address - Fax:440-937-4522
Practice Address - Street 1:33560 DETROIT RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-2030
Practice Address - Country:US
Practice Address - Phone:440-937-4222
Practice Address - Fax:440-937-4522
Is Sole Proprietor?:No
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4638111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor