National Provider Identifier Database

RANDALL POTTER, R.T(R) – NPI #1518357987
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

RANDALL POTTER, R.T(R)
1385 FERNWOOD DR # A
MCKINLEYVILLE, CA95519-6402
Phone: 805-765-5347
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for RANDALL POTTER

NPI Number 1518357987
Credentials R.T(R)
Entity Individual
Enumeration date 01/23/2015
Last updated 01/23/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: RHF00104187
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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