Potter, John Roger

Potter, John Roger is an individual health care provider with primary practice located at 700 13Th St , Ashland KY 41101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Potter, John Roger can be contacted via phone (606) 329-0204.

Contact Information

Primary practice address
700 13Th St Ashland KY 41101
Phone: (606) 329-0204
Fax: (606) 324-7770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17883 Kentucky

Profile Details

NPI number 1144314659
LBN Legal business name Potter, John Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 9th, 2007 - about 19 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 1144314659 NPPES
Ohio MEDICAID 0406617
Ohio Other 336109752062212
Ohio MEDICAID 65917544
Ohio Other 22000000063411
Ohio MEDICAID 0110220000
Ohio MEDICAID 64178833
Ohio Other 610975206003
Ohio Other 6109752062212
Ohio Other 000000062599
Ohio Other 12-029969

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