Portnoy, David C

Portnoy, David C is an individual health care provider with primary practice located at 7945 Wolf River Blvd , Germantown TN 38138-1762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Portnoy, David C can be contacted via phone (901) 683-0055.

Contact Information

Primary practice address
7945 Wolf River Blvd Germantown TN 38138-1762
Phone: (901) 683-0055
Fax: (901) 685-9718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 20763 Mississippi
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 44677 Tennessee

Profile Details

NPI number 1679529473
LBN Legal business name Portnoy, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 2nd, 2018 - about 8 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 1679529473 NPPES
Mississippi MEDICAID 06208752
Mississippi MEDICAID 177720001
Mississippi Other P00744518
Mississippi MEDICAID 1513379
Mississippi MEDICAID 1679529473

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