Porter, Jon Kevin

Porter, Jon Kevin is an individual health care provider with primary practice located at 425 Pearl St , Burlington VT 05401-3308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Porter, Jon Kevin can be contacted via phone (802) 656-3350.

Contact Information

Primary practice address
425 Pearl St Burlington VT 05401-3308
Phone: (802) 656-3350
Fax: (802) 656-8178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420008579 Vermont

Profile Details

NPI number 1093756223
LBN Legal business name Porter, Jon Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 1st, 2010 - about 15 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 1093756223 NPPES
Vermont MEDICAID 1003903

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