Portonova, Michael John
Portonova, Michael John is an sole proprietor health care provider with primary practice located at 943 North Church Street , Hazleton PA 18201. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Portonova, Michael John can be contacted via phone (570) 401-1916.Contact Information
Primary practice address
943 North Church Street
Hazleton PA 18201
Phone: (570) 401-1916
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC 010381 | Pennsylvania |
Profile Details
| NPI number | 1790017176 |
|---|---|
| LBN Legal business name | Portonova, Michael John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2010 |
| Last updated | Oct 21st, 2015 - about 9 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 | 1790017176 | NPPES |
| Other | 12215846 | CAQH |
Popular Providers
-
Palermo, Michael A
1730 E Broad St , Hazleton PA 18201-5657 -
Diana, Joseph Davie
1056 Grant St , Hazleton PA 18202-1707 -
Ulichny, Joseph Steven
79 North Church Street , Hazleton PA 18201-5879 -
Denning, William Carl
555 Alter St , Hazleton PA 18201-5062 -
Masias, Michael Theodore
64 N Locust St , Hazleton PA 18201-5740 -
Sando, Stacie L
1749 E Broad St Degenhart Chiropractic, Hazleton PA 18201-5650 -
Gavio, Daniel
50 Moisey Drive Suite 206, Hazleton PA 18202 -
Eyerly, Terrance Michael
110 Butler Dr , Hazleton PA 18201-7363