Potkin, Benjamin N
Potkin, Benjamin N is an sole proprietor health care provider with primary practice located at 1595 Soquel Dr , Santa Cruz CA 95065-1719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Potkin, Benjamin N can be contacted via phone (831) 761-1680.Contact Information
Primary practice address
1595 Soquel Dr
Santa Cruz CA 95065-1719
Phone: (831) 761-1680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G55040 | California |
Profile Details
| NPI number | 1740335090 |
|---|---|
| LBN Legal business name | Potkin, Benjamin N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jun 13th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740335090 | NPPES |
| California | Other | 1720100480 | GROUP NPI |
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