Porter, Portia Monique
Porter, Portia Monique is an sole proprietor health care provider with primary practice located at 7486 Creedmoor Rd , Raleigh NC 27613-1663. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Research Study, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Porter, Portia Monique can be contacted via phone (252) 544-4369.Contact Information
Primary practice address
7486 Creedmoor Rd
Raleigh NC 27613-1663
Phone: (252) 544-4369
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Research Study | 1744R1102X | ||
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1073284964 |
|---|---|
| LBN Legal business name | Porter, Portia Monique |
| Credentials | CERTIFIED HAIR LOSS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2021 |
| Last updated | Sep 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073284964 | NPPES |
| North Carolina | MEDICAID | 1744P3200X |
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