Portaro, Mark Christian

Portaro, Mark Christian is an individual health care provider with primary practice located at 2125 State St Suite 2, New Albany IN 47150-4972. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Portaro, Mark Christian can be contacted via phone (812) 948-2947.

Contact Information

Primary practice address
2125 State St Suite 2 New Albany IN 47150-4972
Phone: (812) 948-2947
Fax: (812) 948-4164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05003695A Indiana

Profile Details

NPI number 1558380626
LBN Legal business name Portaro, Mark Christian
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 7th, 2020 - about 5 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 1558380626 NPPES
Indiana MEDICAID 200360530A

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