Porter, Angela M

Porter, Angela M is an sole proprietor health care provider with primary practice located at 46156 Woodward Ave Suite B, Pontiac MI 48342-5033. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Porter, Angela M can be contacted via phone (248) 322-6747.

Contact Information

Primary practice address
46156 Woodward Ave Suite B Pontiac MI 48342-5033
Phone: (248) 322-6747
Fax: (248) 322-3071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X AP064427 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301064427 Michigan

Profile Details

NPI number 1578561015
LBN Legal business name Porter, Angela M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Feb 8th, 2017 - about 9 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 1578561015 NPPES
Michigan MEDICAID 4483390

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