Potter, Stacey L

Potter, Stacey L is an sole proprietor health care provider with primary practice located at 313 N Monterey Ave , Farmington NM 87401-6957. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Potter, Stacey L can be contacted via phone (505) 701-4164.

Contact Information

Primary practice address
313 N Monterey Ave Farmington NM 87401-6957
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X # 7128 New Mexico

Profile Details

NPI number 1306110838
LBN Legal business name Potter, Stacey L
Credentials LMT, MTI, BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2012
Last updated Mar 1st, 2012 - about 12 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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