Port, John Eric

Port, John Eric is an individual health care provider with primary practice located at 13700 St Francis Blvd Suite 510, Midlothian VA 23114-3222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Port, John Eric can be contacted via phone (804) 423-8470.

Contact Information

Primary practice address
13700 St Francis Blvd Suite 510 Midlothian VA 23114-3222
Phone: (804) 423-8470
Fax: (804) 423-8471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101239293 Virginia

Profile Details

NPI number 1912936154
LBN Legal business name Port, John Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Dec 6th, 2011 - about 15 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 1912936154 NPPES
Virginia Other C06695 GROUP PTAN

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