Potts, Jack

Potts, Jack is an sole proprietor health care provider with primary practice located at 221 E Indianola Ave , Phoenix AZ 85012-2002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Potts, Jack can be contacted via phone (602) 274-5494.

Contact Information

Primary practice address
221 E Indianola Ave Phoenix AZ 85012-2002
Phone: (602) 274-5494
Fax: (602) 264-5566
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X AZ12185 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12185 Arizona

Profile Details

NPI number 1245348812
LBN Legal business name Potts, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - 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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