Porter, William
Porter, William is an sole proprietor health care provider with primary practice located at 708 Glencrest Ln , Longview TX 75601-5137. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Porter, William can be contacted via phone (903) 753-7633.Contact Information
Primary practice address
708 Glencrest Ln
Longview TX 75601-5137
Phone: (903) 753-7633
Fax: (903) 753-0574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 10304 | Texas |
Profile Details
| NPI number | 1215222559 |
|---|---|
| LBN Legal business name | Porter, William |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2011 |
| Last updated | Jun 15th, 2011 - about 13 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 | 1215222559 | NPPES |
| Texas | Other | 10304 | LICENSED CHEMICAL DEPENDENCY COUNSELOR |
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