Porter, Alicia Joan
Porter, Alicia Joan is an sole proprietor health care provider with primary practice located at 900 Cook Rd , Grosse Pointe Woods MI 48236-2739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Porter, Alicia Joan can be contacted via phone (313) 821-7083.Contact Information
Primary practice address
900 Cook Rd
Grosse Pointe Woods MI 48236-2739
Phone: (313) 821-7083
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 5201007898 | Michigan |
Profile Details
| NPI number | 1992282685 |
|---|---|
| LBN Legal business name | Porter, Alicia Joan |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2018 |
| Last updated | Jul 25th, 2018 - about 7 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 | 1992282685 | NPPES |
| Michigan | MEDICAID | UNKNOWN |
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