Portner, Jeffrey
Portner, Jeffrey is an individual health care provider with primary practice located at 1019 S Broad St , Lansdale PA 19446-5338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Portner, Jeffrey can be contacted via phone (215) 361-5090.Contact Information
Primary practice address
1019 S Broad St
Lansdale PA 19446-5338
Phone: (215) 361-5090
Fax: (215) 412-4296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD044627E | Pennsylvania |
Profile Details
| NPI number | 1891758173 |
|---|---|
| LBN Legal business name | Portner, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Apr 19th, 2012 - about 12 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 | 1891758173 | NPPES |
| Pennsylvania | MEDICAID | 0017079620004 |
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