Porter, Julia E

Porter, Julia E is an individual health care provider with primary practice located at 526 Old Liverpool Rd Ste 9 , Liverpool NY 13088-6285. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Porter, Julia E can be contacted via phone (315) 453-3911.

Contact Information

Primary practice address
526 Old Liverpool Rd Ste 9 Liverpool NY 13088-6285
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 720787 New York

Profile Details

NPI number 1407334642
LBN Legal business name Porter, Julia E
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Jul 31st, 2018 - about 6 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 1407334642 NPPES
New York MEDICAID 01420800

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