Potocki, Jason J.

Potocki, Jason J. is an individual health care provider with primary practice located at 500 Vincent St , Stevens Point WI 54481-1842. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Potocki, Jason J. can be contacted via phone (715) 997-9813.

Contact Information

Primary practice address
500 Vincent St Stevens Point WI 54481-1842
Phone: (715) 997-9813
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 064444 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 60046 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 064444 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 60046 Wisconsin

Profile Details

NPI number 1619998317
LBN Legal business name Potocki, Jason J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619998317 NPPES
Indiana Other 01062299B CSR
Indiana Other 01062299A CSR
Indiana Other 40457 CSR
Indiana Other 200700867 CSR
Indiana Other 60046-20 CSR
Indiana Other 064444 CSR
Indiana Other 000000485767 CSR
Indiana Other 200828920 CSR

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