Potash, David
Potash, David is an sole proprietor health care provider with primary practice located at 150 S Pennsylvania Ave , Wilkes Barre PA 18701-3301. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Potash, David can be contacted via phone (570) 824-7361.Contact Information
Primary practice address
150 S Pennsylvania Ave
Wilkes Barre PA 18701-3301
Phone: (570) 824-7361
Fax: (570) 824-9852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | SC003138L | Pennsylvania |
Profile Details
| NPI number | 1033141379 |
|---|---|
| LBN Legal business name | Potash, David |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Dec 30th, 2010 - about 14 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 | 1033141379 | NPPES |
| Pennsylvania | MEDICAID | 0012022340002 |
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