Porter, Frederick
Porter, Frederick is an individual health care provider with primary practice located at 1655 N Gladstone Ave Ste E, Columbus IN 47201-5392. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Porter, Frederick can be contacted via phone (812) 376-3071.Contact Information
Primary practice address
1655 N Gladstone Ave Ste E
Columbus IN 47201-5392
Phone: (812) 376-3071
Fax: (812) 378-5721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01022304A | Indiana |
Profile Details
| NPI number | 1861499113 |
|---|---|
| LBN Legal business name | Porter, Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Feb 9th, 2010 - about 13 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 | 1861499113 | NPPES |
| Indiana | MEDICAID | 100336290 |
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