Individual
PAUL C POLLACHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,BS
Contact information
Practice address
6846 PRAIRIE RUN AVE, PORTAGE, IN 46368-2665
(219) 628-1292
(219) 764-8256
Mailing address
6846 PRAIRIE RUN AVE, PORTAGE, IN 46368-2665
(219) 628-1292
(219) 764-8256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28112325A
IN
163W00000X
Registered Nurse
Primary
4704232837
MI
163WP0000X
Pain Management Registered Nurse
—
IL
Other
Enumeration date
05/18/2007
Last updated
09/11/2025
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