Portenga, Robert S
Portenga, Robert S is an sole proprietor health care provider with primary practice located at 432 Munson Pl , Traverse City MI 49686-3098. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Portenga, Robert S can be contacted via phone (231) 947-3570.Contact Information
Primary practice address
432 Munson Pl
Traverse City MI 49686-3098
Phone: (231) 947-3570
Fax: (231) 947-5160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 2901009781 | Michigan |
Profile Details
| NPI number | 1184753691 |
|---|---|
| LBN Legal business name | Portenga, Robert S |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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