Porter, Samuel

Porter, Samuel is an individual health care provider with primary practice located at 975 E 3Rd St , Chattanooga TN 37403-2147. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Porter, Samuel can be contacted via phone (423) 778-7234.

Contact Information

Primary practice address
975 E 3Rd St Chattanooga TN 37403-2147
Phone: (423) 778-7234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 51053 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51053 Tennessee

Profile Details

NPI number 1225284557
LBN Legal business name Porter, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Oct 4th, 2018 - about 7 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 1225284557 NPPES
Tennessee MEDICAID Q006866

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