Porter, Robert
Porter, Robert is an sole proprietor health care provider with primary practice located at 1346 E Candleridge Dr , Boise ID 83712-6504. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Porter, Robert can be contacted via phone (208) 426-0491.Contact Information
Primary practice address
1346 E Candleridge Dr
Boise ID 83712-6504
Phone: (208) 426-0491
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M-3299 | Idaho |
Profile Details
| NPI number | 1093119042 |
|---|---|
| LBN Legal business name | Porter, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2014 |
| Last updated | Oct 20th, 2014 - about 12 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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