Portillo, Robert A.

Portillo, Robert A. is an individual health care provider with primary practice located at 3755 Sixes Rd Ste 100 , Canton GA 30114-7856. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Portillo, Robert A. can be contacted via phone (770) 704-4580.

Contact Information

Primary practice address
3755 Sixes Rd Ste 100 Canton GA 30114-7856
Phone: (770) 704-4580
Fax: (770) 704-9142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X CHIR007986 Georgia

Profile Details

NPI number 1306996731
LBN Legal business name Portillo, Robert A.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Nov 20th, 2019 - about 5 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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