Potthoff, William Phillip

Potthoff, William Phillip is an individual health care provider with primary practice located at 1221 6Th St Suite 306, Traverse City MI 49684-2359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Potthoff, William Phillip can be contacted via phone (231) 935-2400.

Contact Information

Primary practice address
1221 6Th St Suite 306 Traverse City MI 49684-2359
Phone: (231) 935-2400
Fax: (231) 935-2424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X WP049827 Michigan

Profile Details

NPI number 1760475818
LBN Legal business name Potthoff, William Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 10th, 2008 - about 17 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 1760475818 NPPES
Michigan MEDICAID 4254412

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