Porter, Brian Oscar
Porter, Brian Oscar is an sole proprietor health care provider with primary practice located at 12413 James Madison Ln , Glenn Dale MD 20769-9168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Porter, Brian Oscar can be contacted via phone (804) 243-2136.Contact Information
Primary practice address
12413 James Madison Ln
Glenn Dale MD 20769-9168
Phone: (804) 243-2136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101237244 | Virginia |
Profile Details
| NPI number | 1275750515 |
|---|---|
| LBN Legal business name | Porter, Brian Oscar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| 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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