Brent Potter is a School in Kingman, Arizona. Brent Potter practices all healthcare services and medical treatments related to School. The NPI Number for Brent Potter is 1871706481. The last update date is 2007-07-26.
Brent Potter's current location address is 2865 Rawhide Dr, Kingman, Arizona. You can contact this provider via phone number 9286929813 and fax number 9286921507. The mailing address for Brent Potter is 2865 Rawhide Dr, Kingman, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Potter |
|---|---|
| Address | 2865 Rawhide Dr, Kingman, Arizona |
| Phone Number | 9286929813 |
| Fax Number | 9286921507 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871706481 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 2865 Rawhide Dr |
|---|---|
| City | Kingman |
| State | Arizona (AZ) |
| Post Code | 864017819 |
| Phone Number | 9286929813 |
| Fax Number | 9286921507 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 101Ys0200X |
|
Definition: A counselor who works with students in elementary, middle, and high schools. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 961575 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brent Potter by the Centers for Medicare & Medicaid Services (CMS)?
The Brent Potter has been assigned the NPI (National Provider Identifier) 1871706481. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Brent Potter?
The Brent Potter is situated at 2865 Rawhide Dr, in the city of Kingman, state of AZ, with the zip code 864017819.
What is Brent Potter's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brent Potter's area of specialization is School, and the corresponding taxonomy code that categorizes this field of practice is 101Ys0200X.
On what date did the Brent Potter receive its 1871706481 assignment from the Centers for Medicare & Medicaid Services?
The Brent Potter was assigned its 1871706481 by the Centers for Medicare & Medicaid Services on 2007-05-08.
As of what date were the Brent Potter's details last updated?
The information pertaining to the Brent Potter, including its address, specialty, and other details, was most recently updated on 2007-07-26.
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