Potter, Shannon J

Potter, Shannon J is an sole proprietor health care provider with primary practice located at 3466 Mckelvey Rd , Bridgeton MO 63044-2533. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Potter, Shannon J can be contacted via phone (314) 463-6950.

Contact Information

Primary practice address
3466 Mckelvey Rd Bridgeton MO 63044-2533
Phone: (314) 463-6950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2010017998 Missouri

Profile Details

NPI number 1700106853
LBN Legal business name Potter, Shannon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2010
Last updated Mar 22nd, 2024 - about 8 months 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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