Pottratz, Scott T.

Pottratz, Scott T. is an individual health care provider with primary practice located at 1499 Fair Rd , Statesboro GA 30458-1683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pottratz, Scott T. can be contacted via phone (912) 486-1510.

Contact Information

Primary practice address
1499 Fair Rd Statesboro GA 30458-1683
Phone: (912) 486-1510
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01036697 Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 072760 Georgia

Profile Details

NPI number 1790731628
LBN Legal business name Pottratz, Scott T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 16th, 2018 - about 8 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 1790731628 NPPES
Indiana MEDICAID 100119850
Indiana Other 000000365696

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