Porth, Jeffery David

Porth, Jeffery David is an individual health care provider with primary practice located at 2500 Belle Chasse Hwy , Terrytown LA 70056-7127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Porth, Jeffery David can be contacted via phone (504) 391-5157.

Contact Information

Primary practice address
2500 Belle Chasse Hwy Terrytown LA 70056-7127
Phone: (504) 391-5157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 359456-1205 Utah
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD.019129 Louisiana

Profile Details

NPI number 1932284627
LBN Legal business name Porth, Jeffery David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 25th, 2023 - about 3 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 1932284627 NPPES
Utah Other 050061428 RAILROAD MEDICARE
Utah MEDICAID D2559 RAILROAD MEDICARE

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