Pavalko, Porter

Pavalko, Porter is an individual health care provider with primary practice located at 615 S New Ballas Rd Ste G400 , Saint Louis MO 63141-8221. He recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as his primary health care specialty. Pavalko, Porter can be contacted via phone (314) 251-4863.

Contact Information

Primary practice address
615 S New Ballas Rd Ste G400 Saint Louis MO 63141-8221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X

Profile Details

NPI number 1487207528
LBN Legal business name Pavalko, Porter
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2019
Last updated Jul 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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