Porter, Ian David
Porter, Ian David is an individual health care provider with primary practice located at 605 Valley Hill Rd Sw , Riverdale GA 30274-2445. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Porter, Ian David can be contacted via phone (678) 545-2020.Contact Information
Primary practice address
605 Valley Hill Rd Sw
Riverdale GA 30274-2445
Phone: (678) 545-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR007561 | Georgia |
Profile Details
| NPI number | 1952071607 |
|---|---|
| LBN Legal business name | Porter, Ian David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2021 |
| Last updated | Sep 15th, 2021 - about 3 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 | 1952071607 | NPPES |
| Georgia | Other | CHIR007561 | DOCTOR OF CHIROPRACTIC |
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