Porter, Portia Monique

Porter, Portia Monique is an sole proprietor health care provider with primary practice located at 7486 Creedmoor Rd , Raleigh NC 27613-1663. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Research Study, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Porter, Portia Monique can be contacted via phone (252) 544-4369.

Contact Information

Primary practice address
7486 Creedmoor Rd Raleigh NC 27613-1663
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Research Study 1744R1102X
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1073284964
LBN Legal business name Porter, Portia Monique
Credentials CERTIFIED HAIR LOSS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2021
Last updated Sep 21st, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073284964 NPPES
North Carolina MEDICAID 1744P3200X

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