Porter, Robert

Porter, Robert is an sole proprietor health care provider with primary practice located at 1346 E Candleridge Dr , Boise ID 83712-6504. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Porter, Robert can be contacted via phone (208) 426-0491.

Contact Information

Primary practice address
1346 E Candleridge Dr Boise ID 83712-6504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M-3299 Idaho

Profile Details

NPI number 1093119042
LBN Legal business name Porter, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2014
Last updated Oct 20th, 2014 - about 11 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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