Potter, Stacey L
Potter, Stacey L is an sole proprietor health care provider with primary practice located at 313 N Monterey Ave , Farmington NM 87401-6957. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Potter, Stacey L can be contacted via phone (505) 701-4164.Contact Information
Primary practice address
313 N Monterey Ave
Farmington NM 87401-6957
Phone: (505) 701-4164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | # 7128 | New Mexico |
Profile Details
| NPI number | 1306110838 |
|---|---|
| LBN Legal business name | Potter, Stacey L |
| Credentials | LMT, MTI, BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2012 |
| Last updated | Mar 1st, 2012 - about 14 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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