Porter, Michael Shawn

Porter, Michael Shawn is an sole proprietor health care provider with primary practice located at 401 Susquehanna Ave Lock Haven University, Lock Haven PA 17745. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Porter, Michael Shawn can be contacted via phone (570) 893-2197.

Contact Information

Primary practice address
401 Susquehanna Ave Lock Haven University Lock Haven PA 17745
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT-000866-A Pennsylvania

Profile Details

NPI number 1992888770
LBN Legal business name Porter, Michael Shawn
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
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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