Potter, David Thomas

Potter, David Thomas is an sole proprietor health care provider with primary practice located at 107 S Division St , Spokane WA 99202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Potter, David Thomas can be contacted via phone (509) 838-4651.

Contact Information

Primary practice address
107 S Division St Spokane WA 99202
Phone: (509) 838-4651
Fax: (509) 363-2762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D0060488 Maryland
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X MD00046532 Washington
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00046532 Washington

Profile Details

NPI number 1396759197
LBN Legal business name Potter, David Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated May 16th, 2018 - about 7 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 1396759197 NPPES
Maryland MEDICAID 402429000
Maryland MEDICAID 1396759197

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