Potter, Steven William

Potter, Steven William is an sole proprietor health care provider with primary practice located at 1620 17Th St Nw , Faribault MN 55021-2839. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Potter, Steven William can be contacted via phone (507) 334-7720.

Contact Information

Primary practice address
1620 17Th St Nw Faribault MN 55021-2839
Phone: (507) 334-7720
Fax: (507) 334-7725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4559 Minnesota
Chiropractic Providers / Chiropractor 111N00000X DC29088 California

Profile Details

NPI number 1457417057
LBN Legal business name Potter, Steven William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1457417057 NPPES
Minnesota Other 967S1PO BLUECROSS BLUESHIELD

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