Porter, Michelle M.

Porter, Michelle M. is an individual health care provider with primary practice located at 211 S 9Th St 6Th Floor Walnut Towers, Philadelphia PA 19107-6810. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Porter, Michelle M. can be contacted via phone (215) 955-1925.

Contact Information

Primary practice address
211 S 9Th St 6Th Floor Walnut Towers Philadelphia PA 19107-6810
Phone: (215) 955-1925
Fax: (215) 928-3160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X DN004010 Pennsylvania

Profile Details

NPI number 1083918197
LBN Legal business name Porter, Michelle M.
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2011
Last updated Apr 27th, 2016 - about 9 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 1083918197 NPPES
Pennsylvania MEDICAID 102969883

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