Potter, Ann Elizabeth
Potter, Ann Elizabeth is an individual health care provider with primary practice located at 12822 Augusta Avenue , Omaha NE 68144. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Potter, Ann Elizabeth can be contacted via phone (402) 403-0190.Contact Information
Primary practice address
12822 Augusta Avenue
Omaha NE 68144
Phone: (402) 403-0190
Fax: (402) 932-4121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 279 | Nebraska |
Profile Details
| NPI number | 1063491413 |
|---|---|
| LBN Legal business name | Potter, Ann Elizabeth |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Aug 29th, 2012 - about 12 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 | 1063491413 | NPPES |
| Nebraska | Other | 08382 | BLUE CROSS BLUE SHIELD |
| Nebraska | Other | 08382 | BLUE CROSS BLUE SHIELD |
| Nebraska | Other | 600509097 | BLUE CROSS BLUE SHIELD |
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