Potter, William S

Potter, William S is an individual health care provider with primary practice located at 4 Dearfield Dr , Greenwich CT 06831-5351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Potter, William S can be contacted via phone (203) 869-3082.

Contact Information

Primary practice address
4 Dearfield Dr Greenwich CT 06831-5351
Fax: (203) 869-6453
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 030761 Connecticut

Profile Details

NPI number 1205834645
LBN Legal business name Potter, William S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 2nd, 2010 - about 15 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 1205834645 NPPES
Other 533386 AETNA
Other 60K731 AETNA
Other 010030761CT05 AETNA
Other 2V8864 AETNA
Other 030761 AETNA

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