Porter, Michael G

Porter, Michael G is an individual health care provider with primary practice located at 551 N Hillside St Ste 550 , Wichita KS 67214-4928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Porter, Michael G can be contacted via phone (316) 686-2911.

Contact Information

Primary practice address
551 N Hillside St Ste 550 Wichita KS 67214-4928
Fax: (316) 682-0826
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0421808 Kansas

Profile Details

NPI number 1225036767
LBN Legal business name Porter, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Aug 2nd, 2021 - about 3 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 1225036767 NPPES
Kansas MEDICAID 100126470B

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