Porter, Robert Charles

Porter, Robert Charles is an individual health care provider with primary practice located at 605 Fulton Ave Suite 2002, Rockford IL 61103-4179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Porter, Robert Charles can be contacted via phone (815) 964-6334.

Contact Information

Primary practice address
605 Fulton Ave Suite 2002 Rockford IL 61103-4179
Phone: (815) 964-6334
Fax: (815) 964-1162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036054450 Illinois

Profile Details

NPI number 1871621144
LBN Legal business name Porter, Robert Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 18 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 1871621144 NPPES
Illinois MEDICAID 036054450

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