Porter, Gregory
Porter, Gregory is an individual health care provider with primary practice located at 707 Chestnut St , South Charleston WV 25309-2003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Porter, Gregory can be contacted via phone (304) 768-8500.Contact Information
Primary practice address
707 Chestnut St
South Charleston WV 25309-2003
Phone: (304) 768-8500
Fax: (304) 768-8530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 00672 | West Virginia |
Profile Details
| NPI number | 1053390450 |
|---|---|
| LBN Legal business name | Porter, Gregory |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Oct 22nd, 2012 - about 12 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 | 1053390450 | NPPES |
| West Virginia | Other | 001718067 | WV BCBS |
| West Virginia | Other | 3000325 | WV BCBS |
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