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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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