Porter, Theresa Ann
Porter, Theresa Ann is an individual health care provider with primary practice located at 600 South 2Nd Street Suite 201, Bismarck ND 58504-5729. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Porter, Theresa Ann can be contacted via phone (701) 258-3780.Contact Information
Primary practice address
600 South 2Nd Street Suite 201
Bismarck ND 58504-5729
Phone: (701) 258-3780
Fax: (701) 258-6431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2020 | North Dakota |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2020 | North Dakota |
Profile Details
| NPI number | 1386755023 |
|---|---|
| LBN Legal business name | Porter, Theresa Ann |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 3rd, 2010 - about 16 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 | 1386755023 | NPPES |
| North Dakota | Other | 26413 | BCBS |
| North Dakota | Other | BCBS 26413 | BCBS |
| North Dakota | MEDICAID | PIN 19146 | BCBS |
| North Dakota | MEDICAID | 19146 | BCBS |
| North Dakota | Other | HP65337 | BCBS |
Popular Providers
-
Eckert, Darnell M
1237 W Divide Ave Suite 5, Bismarck ND 58501-1220 -
Klein, Heather A.
418 E Broadway Ave Suite 25, Bismarck ND 58501-4086 -
Beck, Dean M
600 South 2Nd St Suite 201, Bismarck ND 58504-5729 -
Sturn, Dean
418 E Broadway Ave Suite 25, Bismarck ND 58501-4086 -
Tishmack, Janice Kay
418 E Broadway Ave Ste 25 , Bismarck ND 58501-4086 -
Thomas, Cheryl
921 S 9Th St Ste 110 , Bismarck ND 58504-5851 -
Knutson, Ruth A
101 E Broadway Ave Heartview Foundation, Bismarck ND 58501 -
Milligan, Mark
1237 W Divide Ave Ste 5, Bismarck ND 58501-1208