Porter Physician Services Llc
LBN: Porter Physician Services Llc
Porter Physician Services Llc is an health care organization with primary practice located at 3630 Willowcreek Rd , Portage IN 46368-5075. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Porter Physician Services Llc can be contacted via phone (219) 759-5791, or through Brewer, Debbie T via phone (615) 465-7626.
Contact Information
Primary practice address
3630 Willowcreek Rd
Portage IN 46368-5075
Phone: (219) 759-5791
Fax: (219) 759-3807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1457566309 |
|---|---|
| LBN Legal business name | Porter Physician Services Llc |
| DBA Doing business as | |
| Authorized official | Brewer, Debbie T |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Jan 28th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457566309 | NPPES |
| Indiana | MEDICAID | 200866880A |
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