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
Fax: (812) 378-5721
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861499113 NPPES
Indiana MEDICAID 100336290

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