Potocki, Brian
Potocki, Brian is an individual health care provider with primary practice located at 3751 N Main St Suite D, Roswell NM 88201-0300. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Potocki, Brian can be contacted via phone (517) 281-4747.Contact Information
Primary practice address
3751 N Main St Suite D
Roswell NM 88201-0300
Phone: (517) 281-4747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901020710 | Michigan |
| Dental Providers / General Practice | 1223G0001X | DD4166 | New Mexico |
Profile Details
| NPI number | 1194098723 |
|---|---|
| LBN Legal business name | Potocki, Brian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2012 |
| Last updated | Sep 5th, 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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