Pottkotter, Tiffany R.
Pottkotter, Tiffany R. is an individual health care provider with primary practice located at 885 N Sandusky Ave , Upper Sandusky OH 43351-1098. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Pottkotter, Tiffany R. can be contacted via phone (419) 294-4991.Contact Information
Primary practice address
885 N Sandusky Ave
Upper Sandusky OH 43351-1098
Phone: (419) 294-4991
Fax: (419) 209-0278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C0500689 | Ohio |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | COA16281NP | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | COA16281-NP | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN.CNP.16281 | Ohio |
Profile Details
| NPI number | 1629271150 |
|---|---|
| LBN Legal business name | Pottkotter, Tiffany R. |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Mar 6th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629271150 | NPPES |
| Ohio | MEDICAID | 0111791 |
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