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Contact Information

BETTY J POLLOCK, ATC, LAT, ITAT
1204 CLOQUET AVE
CLOQUET, MN55720
 Phone: 218-878-0805
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for BETTY J POLLOCK · (Female)

NPI Number 1114350543
Status Active
Credentials ATC, LAT, ITAT
Entity Individual
Enumeration date 08/21/2013
Last updated 11/15/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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