Potter, Marimikel
Potter, Marimikel is an sole proprietor health care provider with primary practice located at 9302 Castlewood Dr , Austin TX 78748-6010. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Potter, Marimikel can be contacted via phone (512) 477-5452.Contact Information
Primary practice address
9302 Castlewood Dr
Austin TX 78748-6010
Phone: (512) 477-5452
Fax: (512) 477-5616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 96080 | Texas |
Profile Details
| NPI number | 1831301407 |
|---|---|
| LBN Legal business name | Potter, Marimikel |
| Credentials | RN-BSN, LM, CPM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2007 |
| Last updated | Apr 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831301407 | NPPES |
| Texas | Other | 742112060 | TAX IDENTIFICATION NUMBER |
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