Port, Richard Mark
Port, Richard Mark is an individual health care provider with primary practice located at 1 E Phillip Rd Suite 102, Vernon Hills IL 60061-1858. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Port, Richard Mark can be contacted via phone (847) 367-6068.Contact Information
Primary practice address
1 E Phillip Rd Suite 102
Vernon Hills IL 60061-1858
Phone: (847) 367-6068
Fax: (847) 367-6079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | Illinois |
Profile Details
| NPI number | 1518033828 |
|---|---|
| LBN Legal business name | Port, Richard Mark |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 8th, 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.
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