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Contact Information

STEPHANIE M PORTER
101 S MOORE AVE
CLAREMORE, OK74017-5047
 Phone: 918-342-6495
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency

163WE0003X
 

Administrator

163WA2000X
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for STEPHANIE M PORTER · (Female)

NPI # 1699247213
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2018
Last updated 12/20/2018 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 102328
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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