Porter, Edwin D
Porter, Edwin D is an individual health care provider with primary practice located at 4531 Everhard Rd Nw , Canton OH 44718-2406. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Porter, Edwin D can be contacted via phone (330) 499-0642.Contact Information
Primary practice address
4531 Everhard Rd Nw
Canton OH 44718-2406
Phone: (330) 499-0642
Fax: (330) 499-2257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 316 | Ohio |
Profile Details
| NPI number | 1689602039 |
|---|---|
| LBN Legal business name | Porter, Edwin D |
| Credentials | DM, DC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689602039 | NPPES |
| Ohio | Other | 341258286027 | CARESOURCE |
| Ohio | MEDICAID | 009880-8 | CARESOURCE |
| Ohio | Other | 000000164597 | CARESOURCE |
| Ohio | Other | P00247842 | CARESOURCE |
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