Potter, Mark

Potter, Mark is an sole proprietor health care provider with primary practice located at 366 Massachusetts Ave Suite 103, Arlington MA 02474-6733. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Potter, Mark can be contacted via phone (781) 648-8500.

Contact Information

Primary practice address
366 Massachusetts Ave Suite 103 Arlington MA 02474-6733
Phone: (781) 648-8500
Fax: (781) 648-7171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 921 Massachusetts

Profile Details

NPI number 1386795896
LBN Legal business name Potter, Mark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated Jan 4th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386795896 NPPES
Massachusetts Other 0781742 AETNA
Massachusetts Other Y39404 AETNA
Massachusetts Other 4404373 AETNA
Massachusetts Other Y35709 AETNA
Massachusetts Other 37821 AETNA
Massachusetts Other 275461 AETNA
Massachusetts Other 715211 AETNA

Popular Providers