Porter, Christopher A

Porter, Christopher A is an individual health care provider with primary practice located at 1608 N Stockton Hill Rd , Kingman AZ 86401-4141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Porter, Christopher A can be contacted via phone (928) 718-0180.

Contact Information

Primary practice address
1608 N Stockton Hill Rd Kingman AZ 86401-4141
Phone: (928) 718-0180
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 50103 Minnesota

Profile Details

NPI number 1063611945
LBN Legal business name Porter, Christopher A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Feb 18th, 2016 - about 9 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 1063611945 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID 784613000
Iowa MEDICAID ENROLLED
Iowa MEDICAID ENROLLED

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