Potter, Jon Warren

Potter, Jon Warren is an individual health care provider with primary practice located at 4109 Oakwood Hills Parkway , Eau Claire WI 54701-8888. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Potter, Jon Warren can be contacted via phone (715) 552-7303.

Contact Information

Primary practice address
4109 Oakwood Hills Parkway Eau Claire WI 54701-8888
Phone: (715) 552-7303
Fax: (715) 552-7355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X JP016277 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 04791 Iowa
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 44787-021 Wisconsin
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036-132113 Illinois

Profile Details

NPI number 1093785180
LBN Legal business name Potter, Jon Warren
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated May 24th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093785180 NPPES
Michigan MEDICAID 4693501
Michigan MEDICAID 43546500
Michigan Other 1055201131
Michigan Other P00165661

Popular Providers