Porter, William Calvin

Porter, William Calvin is an individual health care provider with primary practice located at 712 S Cascade St Ste 608, Fergus Falls MN 56537-2913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Porter, William Calvin can be contacted via phone (218) 736-8000.

Contact Information

Primary practice address
712 S Cascade St Ste 608 Fergus Falls MN 56537-2913
Phone: (218) 736-8000
Fax: (218) 739-6718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 5644 North Dakota
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 32055 Minnesota

Profile Details

NPI number 1801886445
LBN Legal business name Porter, William Calvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Feb 16th, 2017 - about 9 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 1801886445 NPPES
Minnesota Other 2T996PO BCBS MN
Minnesota MEDICAID 089790600 BCBS MN
Minnesota Other 11830 BCBS MN
Minnesota MEDICAID 16002 BCBS MN

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