Porter, Jonathon Douglas
Porter, Jonathon Douglas is an individual health care provider with primary practice located at 1420 Rocky Ridge Dr Ste 120 , Roseville CA 95661-2834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Porter, Jonathon Douglas can be contacted via phone (855) 501-1004.Contact Information
Primary practice address
1420 Rocky Ridge Dr Ste 120
Roseville CA 95661-2834
Phone: (855) 501-1004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 20A12424 | California |
Profile Details
| NPI number | 1033461884 |
|---|---|
| LBN Legal business name | Porter, Jonathon Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2012 |
| Last updated | Apr 30th, 2026 - about 6 months 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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