Potrzebowski, Samantha
Potrzebowski, Samantha is an individual health care provider with primary practice located at 12040 Etris Rd Ste D120 , Roswell GA 30075-8016. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Potrzebowski, Samantha can be contacted via phone (770) 645-1880.Contact Information
Primary practice address
12040 Etris Rd Ste D120
Roswell GA 30075-8016
Phone: (770) 645-1880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR009306 | Georgia |
Profile Details
| NPI number | 1942722947 |
|---|---|
| LBN Legal business name | Potrzebowski, Samantha |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2017 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942722947 | NPPES |
| Georgia | Other | CHIR009306 | CHIROPRACTIC LICENSE |
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