Porter, Charles B

Porter, Charles B is an individual health care provider with primary practice located at 4000 Cambridge St Ste G600 , Kansas City KS 66160-8500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Porter, Charles B can be contacted via phone (913) 588-9600.

Contact Information

Primary practice address
4000 Cambridge St Ste G600 Kansas City KS 66160-8500
Phone: (913) 588-9600
Fax: (913) 588-9770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 04-17907 Kansas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R7C72 Missouri

Profile Details

NPI number 1114949393
LBN Legal business name Porter, Charles B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jan 15th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114949393 NPPES
Kansas Other 051569 BCBS KS
Kansas MEDICAID 100202670B BCBS KS
Kansas MEDICAID 202205704 BCBS KS
Kansas Other 10338011 BCBS KS
Kansas MEDICAID 100202670A BCBS KS

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