Porter, Michael J.
Porter, Michael J. is an individual health care provider with primary practice located at 13011 S 104Th Ave Ste 100 , Palos Park IL 60464-1508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Porter, Michael J. can be contacted via phone (708) 274-3278.Contact Information
Primary practice address
13011 S 104Th Ave Ste 100
Palos Park IL 60464-1508
Phone: (708) 274-3278
Fax: (708) 478-3299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 50709 | Colorado |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | A96097 | California |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 036104654 | Illinois |
Profile Details
| NPI number | 1225074511 |
|---|---|
| LBN Legal business name | Porter, Michael J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Dec 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225074511 | NPPES |
| Colorado | MEDICAID | 55557007 | |
| Colorado | MEDICAID | 00A960290 |
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