Porter, Misty

Porter, Misty is an individual health care provider with primary practice located at 540 3Rd St , Idaho Falls ID 83401-3953. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Porter, Misty can be contacted via phone (208) 524-5607.

Contact Information

Primary practice address
540 3Rd St Idaho Falls ID 83401-3953
Phone: (208) 524-5607
Fax: (208) 524-0636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Idaho

Profile Details

NPI number 1235905274
LBN Legal business name Porter, Misty
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2023
Last updated Nov 30th, 2023 - about 2 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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