Potler, Andrew W

Potler, Andrew W is an individual health care provider with primary practice located at 780 Main St , Gt Barrington MA 01230-2180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Potler, Andrew W can be contacted via phone (413) 528-2418.

Contact Information

Primary practice address
780 Main St Gt Barrington MA 01230-2180
Phone: (413) 528-2418
Fax: (413) 528-2907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 58640 Massachusetts

Profile Details

NPI number 1427149798
LBN Legal business name Potler, Andrew W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Oct 6th, 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 1427149798 NPPES
Massachusetts MEDICAID 3057763
Massachusetts Other 110224982
Massachusetts Other 000000020989

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