Potter, Carol Jean

Potter, Carol Jean is an sole proprietor health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Potter, Carol Jean can be contacted via phone (614) 722-6200.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Phone: (614) 722-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 35061792 Ohio

Profile Details

NPI number 1760478507
LBN Legal business name Potter, Carol Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Nov 23rd, 2022 - about 3 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 1760478507 NPPES
Kentucky MEDICAID 64868300
Kentucky Other 0704383
Kentucky MEDICAID 0107287000
Kentucky MEDICAID 0843270

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