Porter, Stephen
Porter, Stephen is an individual health care provider with primary practice located at 140 Academy St , Presque Isle ME 04769-3102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Porter, Stephen can be contacted via phone (207) 764-3142.Contact Information
Primary practice address
140 Academy St
Presque Isle ME 04769-3102
Phone: (207) 764-3142
Fax: (207) 764-6459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP081247 | Maine |
Profile Details
| NPI number | 1053336099 |
|---|---|
| LBN Legal business name | Porter, Stephen |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Nov 20th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053336099 | NPPES |
| Maine | MEDICAID | 1053336099 |
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