Potter, Claudette D

Potter, Claudette D is an individual health care provider with primary practice located at 1465 C St #3401, San Diego CA 92101-5738. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Potter, Claudette D can be contacted via phone (608) 217-0569.

Contact Information

Primary practice address
1465 C St #3401 San Diego CA 92101-5738
Phone: (608) 217-0569
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X CERT 4080 California

Profile Details

NPI number 1619916830
LBN Legal business name Potter, Claudette D
Credentials PMHN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 20th, 2013 - about 13 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 1619916830 NPPES
Wisconsin Other 1619916830 NPI

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