Potter, J. Allen
Potter, J. Allen is an sole proprietor health care provider with primary practice located at 93 Eastgate Dr , Washington IL 61571-9271. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Potter, J. Allen can be contacted via phone (309) 698-2020.Contact Information
Primary practice address
93 Eastgate Dr
Washington IL 61571-9271
Phone: (309) 698-2020
Fax: (309) 698-0368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-006242 | Illinois |
Profile Details
| NPI number | 1467454496 |
|---|---|
| LBN Legal business name | Potter, J. Allen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Mar 3rd, 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.
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