Porter, David A
Porter, David A is an individual health care provider with primary practice located at 10767 Illinois St Ste 3000 , Carmel IN 46032-8972. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Porter, David A can be contacted via phone (317) 817-1200.Contact Information
Primary practice address
10767 Illinois St Ste 3000
Carmel IN 46032-8972
Phone: (317) 817-1200
Fax: (317) 817-1220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 1038677A | Indiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01038677A | Indiana |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 01038677A | Indiana |
Profile Details
| NPI number | 1194771501 |
|---|---|
| LBN Legal business name | Porter, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | May 11th, 2023 - about last year |
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 | 1194771501 | NPPES |
| Indiana | MEDICAID | 200161470A | |
| Indiana | Other | 200034164 |
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