Porter, Dean M
Porter, Dean M is an sole proprietor health care provider with primary practice located at 251 Skaggs Road , Branson MO 65616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Porter, Dean M can be contacted via phone (417) 335-7218.Contact Information
Primary practice address
251 Skaggs Road
Branson MO 65616
Phone: (417) 335-7218
Fax: (417) 334-1507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2005030567 | Missouri |
Profile Details
NPI number | 1164456588 |
---|---|
LBN Legal business name | Porter, Dean M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 10th, 2006 |
Last updated | Jan 19th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164456588 | NPPES |
Other | 126814 | BCBS | |
Other | P00398195 | BCBS | |
Other | 250766 | BCBS |
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