Porter, Mack
Porter, Mack is an sole proprietor health care provider with primary practice located at 10802 College Pl , Cerritos CA 90703-1579. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Porter, Mack can be contacted via phone (562) 924-9581.Contact Information
Primary practice address
10802 College Pl
Cerritos CA 90703-1579
Phone: (562) 924-9581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 437831 | California |
Profile Details
| NPI number | 1912568841 |
|---|---|
| LBN Legal business name | Porter, Mack |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2019 |
| Last updated | Jun 21st, 2019 - about 5 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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