Porter, Gerard Isaac

Porter, Gerard Isaac is an sole proprietor health care provider with primary practice located at 495 S Main Ave Ste C , Bolivar MO 65613-2126. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Porter, Gerard Isaac can be contacted via phone (417) 326-8010.

Contact Information

Primary practice address
495 S Main Ave Ste C Bolivar MO 65613-2126
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 005711 Missouri

Profile Details

NPI number 1295939205
LBN Legal business name Porter, Gerard Isaac
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
Last updated Jul 8th, 2007 - about 18 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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