Potts, Stephanie Egleston

Potts, Stephanie Egleston is an individual health care provider with primary practice located at 1111 Main St , Hope Valley RI 02832-1610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Potts, Stephanie Egleston can be contacted via phone (401) 539-0283.

Contact Information

Primary practice address
1111 Main St Hope Valley RI 02832-1610
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00198 Rhode Island

Profile Details

NPI number 1265576227
LBN Legal business name Potts, Stephanie Egleston
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
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 1265576227 NPPES
Rhode Island MEDICAID 700867

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