Potts, Virgil L
Potts, Virgil L is an individual health care provider with primary practice located at 616 N Market St , Mount Carmel IL 62863-1459. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Potts, Virgil L can be contacted via phone (618) 262-2225.Contact Information
Primary practice address
616 N Market St
Mount Carmel IL 62863-1459
Phone: (618) 262-2225
Fax: (618) 262-2880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 038-005141 | Illinois |
Profile Details
| NPI number | 1679551683 |
|---|---|
| LBN Legal business name | Potts, Virgil L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jan 7th, 2015 - about 9 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 | 1679551683 | NPPES |
| Illinois | MEDICAID | 038-005141 |
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