Porter, Dawn Michelle

Porter, Dawn Michelle is an individual health care provider with primary practice located at 319 E Madison St Fl 2 , Springfield IL 62701-1035. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Porter, Dawn Michelle can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
319 E Madison St Fl 2 Springfield IL 62701-1035
Phone: (217) 545-8000
Fax: (217) 545-9537
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036.088500 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X J3708 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 113680 Missouri
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036.088500 Illinois

Profile Details

NPI number 1336222306
LBN Legal business name Porter, Dawn Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Sep 15th, 2023 - about 2 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 1336222306 NPPES
Missouri MEDICAID 208917021

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