National Provider Identifier Database

POTOMAC HEALTH MEDICAL OF CA PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

POTOMAC HEALTH MEDICAL OF CA PC
11 PIEDMONT ROAD
LARKSPUR, CA94939
Phone: 860-282-4128
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Orthopaedic Surgery 207X00000X

* Indicates primary specialty

NPI Profile & details for POTOMAC HEALTH MEDICAL OF CA PC

NPI Number 1417672437
Legal business name
LBN
POTOMAC HEALTH MEDICAL OF CA PC
Authorized official JAY KIMMEL - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/12/2022
Last updated 11/17/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers 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.

Reviews for POTOMAC HEALTH MEDICAL OF CA PC

There are currently no reviews for POTOMAC HEALTH MEDICAL OF CA PC


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