Porch, Phillip P

Porch, Phillip P is an individual health care provider with primary practice located at 395 Wallace Rd Ste 206B, Nashville TN 37211-4881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Porch, Phillip P can be contacted via phone (615) 331-8281.

Contact Information

Primary practice address
395 Wallace Rd Ste 206B Nashville TN 37211-4881
Fax: (615) 331-3043
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD13574 Tennessee

Profile Details

NPI number 1609846393
LBN Legal business name Porch, Phillip P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1609846393 NPPES
Kentucky MEDICAID 64777980
Kentucky Other 2003495
Kentucky MEDICAID 3003688

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