Potter, Jeffery Brent
Potter, Jeffery Brent is an sole proprietor health care provider with primary practice located at 444 Holderrieth Blvd Ste 4 , Tomball TX 77375-4553. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Potter, Jeffery Brent can be contacted via phone (832) 698-2561.Contact Information
Primary practice address
444 Holderrieth Blvd Ste 4
Tomball TX 77375-4553
Phone: (832) 698-2561
Fax: (832) 698-2561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 9837 | Texas |
Profile Details
| NPI number | 1467505727 |
|---|---|
| LBN Legal business name | Potter, Jeffery Brent |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Nov 15th, 2018 - about 7 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 | 1467505727 | NPPES |
| Texas | Other | 608091 | BCBSTX PARPLAN PROVIDER # |
| Texas | Other | H060809101 | BCBSTX PARPLAN PROVIDER # |
| Texas | Other | 3721239 | BCBSTX PARPLAN PROVIDER # |
| Texas | Other | 1045376 | BCBSTX PARPLAN PROVIDER # |
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