Potyk, Alan

Potyk, Alan is an individual health care provider with primary practice located at 13 Industrial Park Rd , Saco ME 04072-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Potyk, Alan can be contacted via phone (207) 283-8800.

Contact Information

Primary practice address
13 Industrial Park Rd Saco ME 04072-1804
Phone: (207) 283-8800
Fax: (207) 286-9853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 011887 Maine

Profile Details

NPI number 1255396628
LBN Legal business name Potyk, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 25th, 2011 - about 13 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 1255396628 NPPES
Maine MEDICAID 304830099
Maine Other 610004701
Maine Other 017201
Maine Other B86303
Maine Other 2033427

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