Potter, Elizabeth

Potter, Elizabeth is an individual health care provider with primary practice located at 1412 Ky-7 , West Liberty KY 41472. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Potter, Elizabeth can be contacted via phone (606) 743-1600.

Contact Information

Primary practice address
1412 Ky-7 West Liberty KY 41472
Phone: (606) 743-1600
Fax: (606) 743-2220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3285P Kentucky

Profile Details

NPI number 1154478162
LBN Legal business name Potter, Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 28th, 2021 - 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 1154478162 NPPES
Kentucky Other 201287473001 CHAMPUS
Kentucky Other 000000338753 CHAMPUS
Kentucky MEDICAID 78004843 CHAMPUS

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