Porter, Michael Lewis

Porter, Michael Lewis is an individual health care provider with primary practice located at 1337A S Irby St , Florence SC 29505. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Porter, Michael Lewis can be contacted via phone (843) 667-0759.

Contact Information

Primary practice address
1337A S Irby St Florence SC 29505
Fax: (843) 667-0506
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6084 South Carolina

Profile Details

NPI number 1588747695
LBN Legal business name Porter, Michael Lewis
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1588747695 NPPES
South Carolina MEDICAID 774367
South Carolina Other 4213586

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