Potocki, Stan E
Potocki, Stan E is an individual health care provider with primary practice located at 3621 22Nd St Ste 300, Lubbock TX 79410-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Potocki, Stan E can be contacted via phone (806) 792-5331.Contact Information
Primary practice address
3621 22Nd St Ste 300
Lubbock TX 79410-1301
Phone: (806) 792-5331
Fax: (806) 792-9417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | J8719 | Texas |
Profile Details
| NPI number | 1548209810 |
|---|---|
| LBN Legal business name | Potocki, Stan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jun 23rd, 2009 - about 17 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 | 1548209810 | NPPES |
| Texas | MEDICAID | 029832501 | |
| Texas | Other | 040016967 | |
| Texas | Other | 88681X |
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