Porter, Erica

Porter, Erica is an sole proprietor health care provider with primary practice located at 4760 E 68Th St #267, Tulsa OK 74136. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Porter, Erica can be contacted via phone (918) 565-2710.

Contact Information

Primary practice address
4760 E 68Th St #267 Tulsa OK 74136
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X D999730843 Oklahoma

Profile Details

NPI number 1649703349
LBN Legal business name Porter, Erica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2017
Last updated Apr 10th, 2017 - about 7 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 1649703349 NPPES
Oklahoma Other 006102757 SOONERCARE

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