Porat, Shimshon

Porat, Shimshon is an individual health care provider with primary practice located at 429 E 9Th St , Anniston AL 36207-4749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Porat, Shimshon can be contacted via phone (256) 241-2671.

Contact Information

Primary practice address
429 E 9Th St Anniston AL 36207-4749
Fax: (256) 241-2676
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18386 Alabama

Profile Details

NPI number 1164671608
LBN Legal business name Porat, Shimshon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Apr 24th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164671608 NPPES
Alabama Other 511-08886 BCBS OF AL
Alabama MEDICAID 122020 BCBS OF AL

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