Potter, Christopher

Potter, Christopher is an individual health care provider with primary practice located at 1370 13Th Ave S Ste 215 , Jacksonville Beach FL 32250-3206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Potter, Christopher can be contacted via phone (904) 249-1041.

Contact Information

Primary practice address
1370 13Th Ave S Ste 215 Jacksonville Beach FL 32250-3206
Phone: (904) 249-1041
Fax: (904) 249-9764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME78987 Florida

Profile Details

NPI number 1043207657
LBN Legal business name Potter, Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Nov 16th, 2015 - about 9 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 1043207657 NPPES
Florida MEDICAID 001841300

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