Porter, Gregory J
Porter, Gregory J is an individual health care provider with primary practice located at 400 Sierra College Dr Ste B , Grass Valley CA 95945-5093. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Porter, Gregory J can be contacted via phone (530) 272-3428.Contact Information
Primary practice address
400 Sierra College Dr Ste B
Grass Valley CA 95945-5093
Phone: (530) 272-3428
Fax: (530) 272-3429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G72310 | California |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | G72310 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G72310 | California |
Profile Details
| NPI number | 1790741262 |
|---|---|
| LBN Legal business name | Porter, Gregory J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jun 18th, 2024 - about 5 months 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 | 1790741262 | NPPES |
| California | MEDICAID | 00G723100 |
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