Porter, Roger D

Porter, Roger D is an sole proprietor health care provider with primary practice located at 7579 Alexandria Pike , Alexandria KY 41001-1041. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Porter, Roger D can be contacted via phone (859) 635-6666.

Contact Information

Primary practice address
7579 Alexandria Pike Alexandria KY 41001-1041
Phone: (859) 635-6666
Fax: (859) 635-6607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 239 Kentucky
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X KY239 Kentucky

Profile Details

NPI number 1265435093
LBN Legal business name Porter, Roger D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Mar 22nd, 2016 - about 10 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 1265435093 NPPES
Kentucky Other P00141188 RAILROAD MEDICARE
Kentucky MEDICAID 80002397 RAILROAD MEDICARE

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