Potts, Michael

Potts, Michael is an individual health care provider with primary practice located at 2780 Mcfarland Rd Pediatrics, Rockford IL 61107-6807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Potts, Michael can be contacted via phone (815) 971-3070.

Contact Information

Primary practice address
2780 Mcfarland Rd Pediatrics Rockford IL 61107-6807
Phone: (815) 971-3070
Fax: (815) 637-0040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036068700 Illinois

Profile Details

NPI number 1881679090
LBN Legal business name Potts, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 19th, 2015 - about 10 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 1881679090 NPPES
Illinois MEDICAID 036068700
Illinois Other 036068700

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