Poretta, Trina
Poretta, Trina is an individual health care provider with primary practice located at 705 White Horse Rd Ste D105, Voorhees NJ 08043-2468. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Poretta, Trina can be contacted via phone (856) 435-1777.Contact Information
Primary practice address
705 White Horse Rd Ste D105
Voorhees NJ 08043-2468
Phone: (856) 435-1777
Fax: (856) 435-7291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MB06644500 | New Jersey |
Profile Details
| NPI number | 1720082092 |
|---|---|
| LBN Legal business name | Poretta, Trina |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Nov 13th, 2007 - about 17 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 | 1720082092 | NPPES |
| New Jersey | MEDICAID | 8883700 |
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