Porter, Albert Roberts

Porter, Albert Roberts is an individual health care provider with primary practice located at 4518 Union Deposit Rd , Harrisburg PA 17111-2921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Porter, Albert Roberts can be contacted via phone (717) 652-5840.

Contact Information

Primary practice address
4518 Union Deposit Rd Harrisburg PA 17111-2921
Phone: (717) 652-5840
Fax: (717) 652-8152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD030734E Pennsylvania

Profile Details

NPI number 1508859026
LBN Legal business name Porter, Albert Roberts
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Sep 11th, 2013 - about 12 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 1508859026 NPPES
Pennsylvania Other 300057791 RAILROAD MEDICARE
Pennsylvania MEDICAID 0011093470001 RAILROAD MEDICARE

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