Ida R. Porter
Contractor · Detroit, MI
NPI number
1730602129
Practice location
1121 E McNichols RdDetroit, MI 48203-2857
- Phone
- (616) 365-3100
- Fax
- (616) 365-3100
NPI record
- NPI
- 1730602129
- Entity type
- Individual (Type 1)
- Enumeration date
- July 18, 2017
- Last updated
- July 18, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
Mailing address
5715 Emerald Springs CirDetroit, MI 48212-3927
- Phone
- (313) 629-4164
About Ida Porter
Ida R. Porter is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 1121 E McNichols Rd, Detroit, MI 48203-2857. The NPI number 1730602129 was assigned on July 18, 2017 and the record was last updated on July 18, 2017.
Frequently asked questions
What is the NPI number of Ida R. Porter?
The NPI number is 1730602129.
What is the phone number of Ida Porter?
The phone number listed for the practice location is (616) 365-3100.
Where is Ida Porter located?
1121 E McNichols Rd, Detroit, MI 48203-2857.
What is the taxonomy code for Ida Porter?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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