Porter, Garry L
Porter, Garry L is an individual health care provider with primary practice located at 555 N Woodlawn St Ste 102 , Wichita KS 67208-3671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Porter, Garry L can be contacted via phone (316) 652-2590.Contact Information
Primary practice address
555 N Woodlawn St Ste 102
Wichita KS 67208-3671
Phone: (316) 652-2590
Fax: (316) 652-2595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 04-12872 | Kansas |
Profile Details
| NPI number | 1114921699 |
|---|---|
| LBN Legal business name | Porter, Garry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Dec 6th, 2013 - about 11 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 | 1114921699 | NPPES |
| Kansas | MEDICAID | 100085320C |
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