Porter, Thomas

Porter, Thomas is an individual health care provider with primary practice located at 2525 Glenn Hendren Dr , Liberty MO 64068-9625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Porter, Thomas can be contacted via phone (816) 781-7200.

Contact Information

Primary practice address
2525 Glenn Hendren Dr Liberty MO 64068-9625
Phone: (816) 781-7200
Fax: (816) 781-7196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 04-22712 Kansas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2004006670 Missouri

Profile Details

NPI number 1184610990
LBN Legal business name Porter, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Dec 9th, 2020 - about 4 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 1184610990 NPPES
Missouri Other 15158111 BCBS KC
Missouri MEDICAID 206955619 BCBS KC
Missouri Other 15158101 BCBS KC

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