Porter, Stuart B
Porter, Stuart B is an individual health care provider with primary practice located at 3650 N University Ave Suite 200, Provo UT 84604-6656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Porter, Stuart B can be contacted via phone (801) 375-7100.Contact Information
Primary practice address
3650 N University Ave Suite 200
Provo UT 84604-6656
Phone: (801) 375-7100
Fax: (801) 375-7102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 288579-1204 | Utah |
Profile Details
| NPI number | 1689612996 |
|---|---|
| LBN Legal business name | Porter, Stuart B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Sep 1st, 2009 - about 15 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 | 1689612996 | NPPES |
| Utah | MEDICAID | D0860 |
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