Potter, Sam Clayton

Potter, Sam Clayton is an sole proprietor health care provider with primary practice located at 16107 N 165Th Ln , Surprise AZ 85388-1141. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Potter, Sam Clayton can be contacted via phone (623) 337-2511.

Contact Information

Primary practice address
16107 N 165Th Ln Surprise AZ 85388-1141
Phone: (623) 337-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1720500903
LBN Legal business name Potter, Sam Clayton
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2017
Last updated Jul 10th, 2017 - about 9 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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