Charles F Potter
Neonatal-Perinatal Doctor
415 N 9th St
Springfield
, Illinois 62702-5317
Charles F Potter
Neonatal-Perinatal Doctor
415 N 9th St
Springfield
, Illinois 62702-5317
(262) 447-7330
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Charles F Potter
- 129 W Miller Dr
- Mequon, WI
- Zip : 53092-6189
- Fax : (262) 447-7330
- Phone : (262) 825-8984
Second Address
- Charles F Potter
- 415 N 9th St
- Springfield, IL
- Zip : 62702-5317
- Fax : (217) 757-6844
- Phone : (217) 544-6464
Reviews
FAQs
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What type of doctor is Charles F Potter
In what state does Charles F Potter practice in?
Where is Charles F Potter ’s practice located?
What is Charles F Potter ’s gender?
Is Charles F Potter a sole practitioner?
Is Charles F Potter accepting new patients?
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Does Charles F Potter offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 036-112376 | IL |
National Provider Identifier
| NPI | 1023092897 |
|---|---|
| Provider Name | Charles F Potter |
| First Address | Mequon, WI 53092-6189 |
| Second Address | Springfield, IL 62702-5317 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2005 |
| Last Update Date | 09/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036112376 | (05) | IL |
| F69603 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.