Portschy, Pamela R

Portschy, Pamela R is an sole proprietor health care provider with primary practice located at 2414 Kohler Memorial Dr , Sheboygan WI 53081-3129. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Portschy, Pamela R can be contacted via phone (920) 459-1160.

Contact Information

Primary practice address
2414 Kohler Memorial Dr Sheboygan WI 53081-3129
Fax: (920) 459-1414
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 70813 Wisconsin

Profile Details

NPI number 1962636043
LBN Legal business name Portschy, Pamela R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2009
Last updated Dec 1st, 2021 - about 4 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 1962636043 NPPES
Wisconsin MEDICAID 100022813

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