Potasznik, Joel

Potasznik, Joel is an individual health care provider with primary practice located at 4355 Interstate 30 Suite #101, Mesquite TX 75150-2035. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Potasznik, Joel can be contacted via phone (214) 328-6000.

Contact Information

Primary practice address
4355 Interstate 30 Suite #101 Mesquite TX 75150-2035
Fax: (214) 328-1260
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E1233 Texas

Profile Details

NPI number 1831100437
LBN Legal business name Potasznik, Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Feb 6th, 2008 - about 17 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 1831100437 NPPES
Texas MEDICAID 098148201

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