Porter, Dwain Phillip
Porter, Dwain Phillip is an sole proprietor health care provider with primary practice located at 717 Wheatley Road , Ashland KY 41101. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Porter, Dwain Phillip can be contacted via phone (606) 329-1148.Contact Information
Primary practice address
717 Wheatley Road
Ashland KY 41101
Phone: (606) 329-1148
Fax: (606) 324-6408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4264 | Kentucky |
Profile Details
| NPI number | 1871664334 |
|---|---|
| LBN Legal business name | Porter, Dwain Phillip |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1871664334 | NPPES |
| Kentucky | Other | 5274435 | AETNA |
| Kentucky | MEDICAID | 85036382 | AETNA |
| Kentucky | Other | 000000211930 | AETNA |
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