Potter, Jeffery S

Potter, Jeffery S is an individual health care provider with primary practice located at 842 E Mountain Pkwy , Salyersville KY 41465-8378. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Potter, Jeffery S can be contacted via phone (606) 349-8100.

Contact Information

Primary practice address
842 E Mountain Pkwy Salyersville KY 41465-8378
Phone: (606) 349-8100
Fax: (606) 349-8150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02805 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 02805 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02805 Kentucky

Profile Details

NPI number 1851313266
LBN Legal business name Potter, Jeffery S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Apr 17th, 2020 - about 5 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 1851313266 NPPES
Kentucky MEDICAID 64061328
Kentucky Other 000000360776
Kentucky Other P00274419
Kentucky Other 3000160
Kentucky MEDICAID 3004971000

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