Porter, Michael J.

Porter, Michael J. is an individual health care provider with primary practice located at 13011 S 104Th Ave Ste 100 , Palos Park IL 60464-1508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Porter, Michael J. can be contacted via phone (708) 274-3278.

Contact Information

Primary practice address
13011 S 104Th Ave Ste 100 Palos Park IL 60464-1508
Phone: (708) 274-3278
Fax: (708) 478-3299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 50709 Colorado
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X A96097 California
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036104654 Illinois

Profile Details

NPI number 1225074511
LBN Legal business name Porter, Michael J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 10th, 2021 - about 5 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 1225074511 NPPES
Colorado MEDICAID 55557007
Colorado MEDICAID 00A960290

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