Potter, Paul G

Potter, Paul G is an individual health care provider with primary practice located at 380 Suwannee Trail St , Bowling Green KY 42103. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Potter, Paul G can be contacted via phone (270) 901-5000.

Contact Information

Primary practice address
380 Suwannee Trail St Bowling Green KY 42103
Phone: (270) 901-5000
Fax: (270) 842-5268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 253002 Kentucky

Profile Details

NPI number 1528196748
LBN Legal business name Potter, Paul G
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Aug 9th, 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 1528196748 NPPES
Kentucky MEDICAID 30604011

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