Porter, Delyn D

Porter, Delyn D is an sole proprietor health care provider with primary practice located at 320 N 1100 W , Blackfoot ID 83221-5152. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Porter, Delyn D can be contacted via phone (208) 380-3946.

Contact Information

Primary practice address
320 N 1100 W Blackfoot ID 83221-5152
Phone: (208) 380-3946
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 00105855

Profile Details

NPI number 1477106854
LBN Legal business name Porter, Delyn D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2019
Last updated Jul 24th, 2019 - about 6 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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