Potter, Robert

Potter, Robert is an sole proprietor health care provider with primary practice located at 1630 Shoup St , Prescott AZ 86305-1343. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Potter, Robert can be contacted via phone (928) 277-2448.

Contact Information

Primary practice address
1630 Shoup St Prescott AZ 86305-1343
Phone: (928) 277-2448
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1548669039
LBN Legal business name Potter, Robert
Credentials LASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2014
Last updated Aug 20th, 2014 - about 12 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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