Pottorf, Brian J
Pottorf, Brian J is an individual health care provider with primary practice located at 3264 N North Hills Blvd , Fayetteville AR 72703-4005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pottorf, Brian J can be contacted via phone (479) 521-3300.Contact Information
Primary practice address
3264 N North Hills Blvd
Fayetteville AR 72703-4005
Phone: (479) 521-3300
Fax: (479) 521-4705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DR.0053920 | Colorado |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | E-13809 | Arkansas |
Profile Details
| NPI number | 1760610307 |
|---|---|
| LBN Legal business name | Pottorf, Brian J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2009 |
| Last updated | Feb 12th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760610307 | NPPES |
| Colorado | Other | 53920 | COLORADO MEDICAL BOARD |
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