Porter, William Calvin
Porter, William Calvin is an individual health care provider with primary practice located at 712 S Cascade St Ste 608, Fergus Falls MN 56537-2913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Porter, William Calvin can be contacted via phone (218) 736-8000.Contact Information
Primary practice address
712 S Cascade St Ste 608
Fergus Falls MN 56537-2913
Phone: (218) 736-8000
Fax: (218) 739-6718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 5644 | North Dakota |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 32055 | Minnesota |
Profile Details
| NPI number | 1801886445 |
|---|---|
| LBN Legal business name | Porter, William Calvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Feb 16th, 2017 - about 7 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 | 1801886445 | NPPES |
| Minnesota | Other | 2T996PO | BCBS MN |
| Minnesota | MEDICAID | 089790600 | BCBS MN |
| Minnesota | Other | 11830 | BCBS MN |
| Minnesota | MEDICAID | 16002 | BCBS MN |
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