Porter, Christian Wayne
Porter, Christian Wayne is an individual health care provider with primary practice located at 322 Dupont Dr Ste C , Seymour IN 47274-1764. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Porter, Christian Wayne can be contacted via phone (317) 334-7331.Contact Information
Primary practice address
322 Dupont Dr Ste C
Seymour IN 47274-1764
Phone: (317) 334-7331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-19-401227 | Indiana |
Profile Details
| NPI number | 1194364778 |
|---|---|
| LBN Legal business name | Porter, Christian Wayne |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2019 |
| Last updated | Jul 7th, 2020 - about 6 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 | 1194364778 | NPPES |
| Indiana | MEDICAID | 300033976 |
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