Potthoff, Troy L
Potthoff, Troy L is an individual health care provider with primary practice located at 2015 2Nd Ave Unit 1803 , Seattle WA 98121-4020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Potthoff, Troy L can be contacted via phone (308) 455-6788.Contact Information
Primary practice address
2015 2Nd Ave Unit 1803
Seattle WA 98121-4020
Phone: (308) 455-6788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR0057906 | Colorado |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 19526 | Nebraska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19526 | Nebraska |
Profile Details
| NPI number | 1619051497 |
|---|---|
| LBN Legal business name | Potthoff, Troy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 30th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619051497 | NPPES |
| Other | 00574 | BCBS | |
| MEDICAID | 47064194508 | BCBS |
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