Port, Joshua
Port, Joshua is an individual health care provider with primary practice located at 3000 Fairway Dr , Altoona PA 16602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Port, Joshua can be contacted via phone (814) 942-1166.Contact Information
Primary practice address
3000 Fairway Dr
Altoona PA 16602
Phone: (814) 942-1166
Fax: (814) 942-6222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD042447L | Pennsylvania |
Profile Details
| NPI number | 1104894229 |
|---|---|
| LBN Legal business name | Port, Joshua |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Oct 1st, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104894229 | NPPES |
| Pennsylvania | MEDICAID | 0014632950003 |
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