Porter, David A

Porter, David A is an sole proprietor health care provider with primary practice located at 1407 N Porter Ave , Norman OK 73071-6606. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Porter, David A can be contacted via phone (405) 329-4304.

Contact Information

Primary practice address
1407 N Porter Ave Norman OK 73071-6606
Fax: (405) 366-8993
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 13650 Oklahoma

Profile Details

NPI number 1528001344
LBN Legal business name Porter, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Aug 18th, 2010 - about 15 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 1528001344 NPPES
Oklahoma MEDICAID 100123490A

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