Potos, Paul W

Potos, Paul W is an individual health care provider with primary practice located at 3840 N Oakland Ave , Shorewood WI 53211-2239. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Potos, Paul W can be contacted via phone (414) 962-8480.

Contact Information

Primary practice address
3840 N Oakland Ave Shorewood WI 53211-2239
Phone: (414) 962-8480
Fax: (414) 962-8476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4570-024 Wisconsin

Profile Details

NPI number 1487676870
LBN Legal business name Potos, Paul W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 9th, 2021 - about 4 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 1487676870 NPPES
Wisconsin MEDICAID 40347400

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