Agnes Cecilia Osterholt Polston


Address: 4235 Flagstaff Cv, Fort Wayne, IN 46815-4418

Agnes Cecilia Osterholt Polston (NPI# 1255346011, PAC ID# 9931188752) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1255346011
PAC ID by PECOS 9931188752
Professional Enrollment ID I20040715001017
Full Name Agnes Cecilia Osterholt Polston
Address 4235 Flagstaff Cv
Fort Wayne
IN 46815-4418
Gender F
Credential CSW
Graduation Year 1988
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4235 Flagstaff Cv, Fort Wayne, IN 46815-4418

Organization Information

Office Location

Street Address 4235 FLAGSTAFF CV
City FORT WAYNE
State IN
Zip 46815-4418

Physicians in the same zip code

Name Specialty Organization Address
Lisa Rene Farias Chiropractic 4337 Flagstaff Cv, Fort Wayne, IN 46815-4400
Adam Osenga Chiropractic 4332 Flagstaff Cv, Fort Wayne, IN 46815-4416
George C Joachim Chiropractic Bink Inc 3476 Stellhorn Rd, Fort Wayne, IN 46815-4630
Pamela S Aaron Joachim Chiropractic Bink Inc 3476 Stellhorn Rd, Fort Wayne, IN 46815-4630
Shanna White Nurse Practitioner Extended Care Specialists, Inc 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631
Amber N Gullion Nurse Practitioner Extended Care Specialists, Inc 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631
Deborah F Garner Nurse Practitioner Extended Care Specialists, Inc 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631
Linda Romines Nurse Practitioner Extended Care Specialists, Inc 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631
Marisha Ann Klingenberger Nurse Practitioner Extended Care Specialists, Inc 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631
Meagan H. Corey Nurse Practitioner Extended Care Specialists, Inc 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631
Find all physicians in zip 46815

Competitor

Search similar physicians

City FORT WAYNE
Zip Code 46815
Specialty CLINICAL SOCIAL WORKER
City + Specialty FORT WAYNE + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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