Porter, Jay W
Porter, Jay W is an individual health care provider with primary practice located at 3150 Highland Rd , Hermitage PA 16148-4516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Porter, Jay W can be contacted via phone (724) 342-1070.Contact Information
Primary practice address
3150 Highland Rd
Hermitage PA 16148-4516
Phone: (724) 342-1070
Fax: (724) 342-5220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS011834 | Pennsylvania |
Profile Details
| NPI number | 1699745299 |
|---|---|
| LBN Legal business name | Porter, Jay W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 7th, 2014 - 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 | 1699745299 | NPPES |
| Pennsylvania | MEDICAID | 0019690620004 |
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