| Shawnpo Llc | |
|
846 Williamsburg Blvd Downingtown PA 19335-4127 | |
| (610) 207-3959 | |
| Not Available |
| Full Name | Shawnpo Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 846 Williamsburg Blvd, Downingtown, Pennsylvania |
| Authorized Official Name and Position | Shawn Potteiger (OWNER) |
| Authorized Official Contact | 6102073959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnpo Llc 846 Williamsburg Blvd Downingtown PA 19335-4127 Ph: (610) 207-3959 | Shawnpo Llc 846 Williamsburg Blvd Downingtown PA 19335-4127 Ph: (610) 207-3959 |
| NPI Number | 1003603622 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 04/24/2025 |
| Medicare PECOS PAC ID | 9234658824 |
|---|---|
| Medicare Enrollment ID | O20250528000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003603622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Shawn Potteiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588074546 PECOS PAC ID: 5092006965 Enrollment ID: I20171026000567 |
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