Potter, Greg Leland

Potter, Greg Leland is an sole proprietor health care provider with primary practice located at 46 Wesley Rd , Daleville VA 24083-3082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Potter, Greg Leland can be contacted via phone (540) 591-9440.

Contact Information

Primary practice address
46 Wesley Rd Daleville VA 24083-3082
Phone: (540) 591-9440
Fax: (540) 966-2719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 0102201361 Virginia

Profile Details

NPI number 1326105669
LBN Legal business name Potter, Greg Leland
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Dec 10th, 2020 - about 5 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 1326105669 NPPES
Virginia MEDICAID 1326105669

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