Jean Derek Potvin in Dana Point - Sports Physician
Jean Derek Potvin - NPI 1124194345
Jean Derek Potvin is a Sports Physician in Dana Point, California. Jean Derek Potvin practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jean Derek Potvin is 1124194345. The last update date is 2007-07-08.
Jean Derek Potvin's current location address is 24470 Del Prado, Dana Point, California. You can contact this provider via phone number 9494880348. The mailing address for Jean Derek Potvin is 24470 Del Prado, Dana Point, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Derek Potvin |
|---|---|
| Address | 24470 Del Prado, Dana Point, California |
| Phone Number | 9494880348 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1124194345 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24470 Del Prado |
|---|---|
| City | Dana Point |
| State | California (CA) |
| Post Code | 926292739 |
| Phone Number | 9494880348 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC-27513 |
|
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
|
Post Comment/ Review Below
What is the unique identifier code issued to Jean Derek Potvin by the Centers for Medicare & Medicaid Services?
The Jean Derek Potvin has been assigned the NPI (National Provider Identifier) 1124194345. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jean Derek Potvin is physically located?
The Jean Derek Potvin is physically situated at the following address: 24470 Del Prado, Dana Point, CA, 926292739.
What is Jean Derek Potvin's area of expertise and its corresponding taxonomy classification?
The Jean Derek Potvin's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jean Derek Potvin receive its 1124194345 assignment from the Centers for Medicare & Medicaid Services?
The Jean Derek Potvin was assigned its 1124194345 by the Centers for Medicare & Medicaid Services on 2006-11-28.
When was the information regarding Jean Derek Potvin most recently updated?
The details pertaining to the Jean Derek Potvin, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1518960749
Address: 100 N Academy Ave, Danville, PA
NPI Number: 1821091893
Address: 10830 Brookpark Rd, Cleveland, OH
NPI Number: 1376546093
Address: Po Box 13, Willow Grove, PA
NPI Number: 1053317347
Address: 9850-d Emmett F Lowry Expy, Texas City, TX