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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1932284627 | NPPES |
| Utah | Other | 050061428 | RAILROAD MEDICARE |
| Utah | MEDICAID | D2559 | RAILROAD MEDICARE |
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