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:
Health care specialties
| Specialty | Code | License # | 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 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.
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