Potter, Benjamin

Potter, Benjamin is an individual health care provider with primary practice located at 430 W Ravine Rd , Kingsport TN 37660-3868. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Potter, Benjamin can be contacted via phone (423) 245-3161.

Contact Information

Primary practice address
430 W Ravine Rd Kingsport TN 37660-3868
Phone: (423) 245-3161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 135.001005 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 905 Tennessee

Profile Details

NPI number 1063919793
LBN Legal business name Potter, Benjamin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2018
Last updated Apr 18th, 2023 - about 2 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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