# SIMEON POLLOCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801033899
- **Gender:** Man
- **Credential:** L.AC., L.M.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | UO1179 | MD | Yes |
| 172M00000X | Mechanotherapist | M02382 | MD | — |

## Other

- **Enumeration date:** 01/13/2009
- **Last updated:** 01/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | FB48S | CAREFIRST BLUE CROSS BLUE SHIELD | MD |
| 01 | — | M903 | CAREFIRST BLUE CROSS BLUE SHIELD | MD |