Provider Demographics
NPI:1366649956
Name:CURTIS R. POTTS CHIROPRACTIC PC
Entity Type:Organization
Organization Name:CURTIS R. POTTS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:POTTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-323-3286
Mailing Address - Street 1:595 MOUNT ROSE ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3363
Mailing Address - Country:US
Mailing Address - Phone:775-323-3286
Mailing Address - Fax:
Practice Address - Street 1:595 MOUNT ROSE ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3363
Practice Address - Country:US
Practice Address - Phone:775-323-3286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB668261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU70109Medicare UPIN