Basic Information
Provider Information
NPI: 1487630950
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POLLMAN
FirstName: DANIEL
MiddleName: JOSEPH
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 7987
Address2:  
City: MOBILE
State: AL
PostalCode: 366700987
CountryCode: US
TelephoneNumber: 2516330573
FaxNumber: 2516337367
Practice Location
Address1: 5955 AIRPORT BLVD
Address2:  
City: MOBILE
State: AL
PostalCode: 36608
CountryCode: US
TelephoneNumber: 2516330573
FaxNumber: 2516337367
Other Information
ProviderEnumerationDate: 12/16/2005
LastUpdateDate: 06/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X15883ALN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X15883ALY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

ID Information
IDTypeStateIssuerDescription
942145501ALCIGNA HCOTHER
E9075201ALVIVA HEALTHOTHER
22093105AL MEDICAID
590148001ALAETNAOTHER
13420005AL MEDICAID
21405305AL MEDICAID
512-0669601ALBCBSOTHER
21405405AL MEDICAID
29000958901ALRR MEDICAREOTHER
512-0669701ALBCBSOTHER
0011874901MSMS MEDICAIDOTHER
102I29260901ALMEDICAREOTHER
173727301ALUHCOTHER
22141405AL MEDICAID
510-3467001ALBCBSOTHER


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