Basil-Porter, Amanda M

Basil-Porter, Amanda M is an individual health care provider with primary practice located at 25631 Little Mack Ave Ste 205 , Saint Clair Shores MI 48081-2108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Basil-Porter, Amanda M can be contacted via phone (586) 443-2380.

Contact Information

Primary practice address
25631 Little Mack Ave Ste 205 Saint Clair Shores MI 48081-2108
Phone: (586) 443-2380
Fax: (586) 443-2935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA057154 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601009765 Michigan

Profile Details

NPI number 1528441854
LBN Legal business name Basil-Porter, Amanda M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2015
Last updated Jan 19th, 2021 - about 3 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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