Porta, Justin Gabriel
Porta, Justin Gabriel is an sole proprietor health care provider with primary practice located at 538 N Monroe Station Dr , Fayetteville AR 72704-7038. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Porta, Justin Gabriel can be contacted via phone (479) 466-7134.Contact Information
Primary practice address
538 N Monroe Station Dr
Fayetteville AR 72704-7038
Phone: (479) 466-7134
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR1632 | Arkansas |
Profile Details
| NPI number | 1124332267 |
|---|---|
| LBN Legal business name | Porta, Justin Gabriel |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2010 |
| Last updated | Jul 30th, 2010 - about 14 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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