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:
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Health care specialties

SpecialtyCodeLicense #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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