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
Fax: (832) 698-2561
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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