Potter, Michael W

Potter, Michael W is an individual health care provider with primary practice located at 123 Summer St Suite 210, Worcester MA 01608-1312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Potter, Michael W can be contacted via phone (508) 368-3190.

Contact Information

Primary practice address
123 Summer St Suite 210 Worcester MA 01608-1312
Phone: (508) 368-3190
Fax: (508) 368-3985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 160784 Massachusetts

Profile Details

NPI number 1124004403
LBN Legal business name Potter, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124004403 NPPES
Other 2023718 CIGNA HEALTH PLAN
Other 3208125 CIGNA HEALTH PLAN
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MEDICAID 3208125 CIGNA HEALTH PLAN
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Other 04 2472266 CIGNA HEALTH PLAN
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Other 70438 CIGNA HEALTH PLAN
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Other A37468 CIGNA HEALTH PLAN

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