Portner, Marvin M

Portner, Marvin M is an individual health care provider with primary practice located at 1783 Shell Ring Cir , Mount Pleasant SC 29466-8030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Portner, Marvin M can be contacted via phone (310) 266-3050.

Contact Information

Primary practice address
1783 Shell Ring Cir Mount Pleasant SC 29466-8030
Phone: (310) 266-3050
Fax: (310) 454-5318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X C28757 California
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MD87328 South Carolina

Profile Details

NPI number 1356366793
LBN Legal business name Portner, Marvin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 18th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356366793 NPPES
South Carolina Other MD87328 STATE OF SOUTH CAROLINA

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