Potthoff, Derek Michael

Potthoff, Derek Michael is an individual health care provider with primary practice located at 1217 Highway 10 W , Orange City IA 51041-1500. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Potthoff, Derek Michael can be contacted via phone (712) 707-9222.

Contact Information

Primary practice address
1217 Highway 10 W Orange City IA 51041-1500
Phone: (712) 707-9222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 104991 Iowa

Profile Details

NPI number 1578236642
LBN Legal business name Potthoff, Derek Michael
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2021
Last updated Jul 26th, 2021 - about 3 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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