Canos, Portia V C

Canos, Portia V C is an individual health care provider with primary practice located at 1920 S 9Th St , Ironton OH 45638-2453. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Canos, Portia V C can be contacted via phone (740) 532-0220.

Contact Information

Primary practice address
1920 S 9Th St Ironton OH 45638-2453
Phone: (740) 532-0220
Fax: (740) 532-5088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35495 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21220 Kentucky

Profile Details

NPI number 1114006608
LBN Legal business name Canos, Portia V C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Apr 24th, 2013 - about 12 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 1114006608 NPPES
Ohio MEDICAID 0212997
Ohio MEDICAID 64212202

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