Provider Demographics
NPI:1245491919
Name:PORTER, BARBARA M (DPM)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:M
Last Name:PORTER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 FRANK ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-1422
Mailing Address - Country:US
Mailing Address - Phone:717-653-6350
Mailing Address - Fax:717-653-8044
Practice Address - Street 1:112 FRANK ST
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-1422
Practice Address - Country:US
Practice Address - Phone:717-653-6350
Practice Address - Fax:717-653-8044
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006073213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist