Potter, Randall

Potter, Randall is an sole proprietor health care provider with primary practice located at 1385 Fernwood Dr # A , Mckinleyville CA 95519-6402. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Potter, Randall can be contacted via phone (805) 765-5347.

Contact Information

Primary practice address
1385 Fernwood Dr # A Mckinleyville CA 95519-6402
Phone: (805) 765-5347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X RHF00104187 California

Profile Details

NPI number 1518357987
LBN Legal business name Potter, Randall
Credentials R.T(R)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2015
Last updated Jan 23rd, 2015 - about 11 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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