Potvin, Jean Derek

Potvin, Jean Derek is an sole proprietor health care provider with primary practice located at 24470 Del Prado , Dana Point CA 92629-2739. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Potvin, Jean Derek can be contacted via phone (949) 488-0348.

Contact Information

Primary practice address
24470 Del Prado Dana Point CA 92629-2739
Phone: (949) 488-0348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X DC-27513 California

Profile Details

NPI number 1124194345
LBN Legal business name Potvin, Jean Derek
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 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.

Request for update

Popular Providers