Portera, Charles A

Portera, Charles A is an individual health care provider with primary practice located at 3851 Piper St Ste U230 , Anchorage AK 99508-6901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Portera, Charles A can be contacted via phone (907) 868-2075.

Contact Information

Primary practice address
3851 Piper St Ste U230 Anchorage AK 99508-6901
Phone: (907) 868-2075
Fax: (907) 312-5882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 6982 Alaska

Profile Details

NPI number 1467412734
LBN Legal business name Portera, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 29th, 2019 - about 7 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 1467412734 NPPES
Alaska MEDICAID 151809

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