Porter, Kip C
Porter, Kip C is an sole proprietor health care provider with primary practice located at 275 S Main St , Tooele UT 84074-2743. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Porter, Kip C can be contacted via phone (435) 833-0977.Contact Information
Primary practice address
275 S Main St
Tooele UT 84074-2743
Phone: (435) 833-0977
Fax: (435) 833-0978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3361041202 | Utah |
Profile Details
| NPI number | 1770691370 |
|---|---|
| LBN Legal business name | Porter, Kip C |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Dec 11th, 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 | 1770691370 | NPPES |
| Utah | Other | 639967 | DMBA |
| Utah | Other | QM0000044527 | DMBA |
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