Potyondy, Louis David

Potyondy, Louis David is an sole proprietor health care provider with primary practice located at 801 Pacific Ave , Tacoma WA 98402-5209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Potyondy, Louis David can be contacted via phone (229) 589-2588.

Contact Information

Primary practice address
801 Pacific Ave Tacoma WA 98402-5209
Phone: (229) 589-2588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 057743 Georgia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD 60288108 Washington

Profile Details

NPI number 1104884956
LBN Legal business name Potyondy, Louis David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Sep 11th, 2012 - 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 1104884956 NPPES
Georgia MEDICAID 814916866A
Georgia MEDICAID 001281100
Georgia Other 1508824293

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