Porter, Joel A

Porter, Joel A is an individual health care provider with primary practice located at 95 Arch St Ste 150, Akron OH 44304-1479. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Porter, Joel A can be contacted via phone (330) 564-0728.

Contact Information

Primary practice address
95 Arch St Ste 150 Akron OH 44304-1479
Fax: (330) 564-0733
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35048232O Ohio

Profile Details

NPI number 1811993793
LBN Legal business name Porter, Joel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811993793 NPPES
Ohio Other 000000029383 ANTHEM BC BS
Ohio MEDICAID 0681525 ANTHEM BC BS

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