Potaczek, Karen

Potaczek, Karen is an sole proprietor health care provider with primary practice located at 116 E 11Th St Suite 201, Spencer IA 51301-4393. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is her primary health care specialty. Potaczek, Karen can be contacted via phone (712) 262-7350.

Contact Information

Primary practice address
116 E 11Th St Suite 201 Spencer IA 51301-4393
Phone: (712) 262-7350
Fax: (712) 262-7351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 08697 Iowa
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 08697 Iowa

Profile Details

NPI number 1700089513
LBN Legal business name Potaczek, Karen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2007
Last updated Feb 11th, 2014 - about 10 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 1700089513 NPPES
Iowa MEDICAID 1700089513
Iowa MEDICAID 1700089513

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