Potts, Matthew E

Potts, Matthew E is an individual health care provider with primary practice located at 999 San Bernardino Rd , Upland CA 91786-4920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Potts, Matthew E can be contacted via phone (909) 985-2811.

Contact Information

Primary practice address
999 San Bernardino Rd Upland CA 91786-4920
Phone: (909) 985-2811
Fax: (818) 587-2493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A85732 California

Profile Details

NPI number 1821011347
LBN Legal business name Potts, Matthew E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821011347 NPPES
California Other 00A857320 BLUE SHIELD
California MEDICAID 00A857320 BLUE SHIELD
California Other P00201559 BLUE SHIELD

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