Porter, Thomas D

Porter, Thomas D is an individual health care provider with primary practice located at 4320 67Th Dr , Union Grove WI 53182-9338. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Porter, Thomas D can be contacted via phone (262) 878-1211.

Contact Information

Primary practice address
4320 67Th Dr Union Grove WI 53182-9338
Phone: (262) 878-1211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13227-033 Wisconsin

Profile Details

NPI number 1528778321
LBN Legal business name Porter, Thomas D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2022
Last updated Apr 27th, 2023 - about last year

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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