Pore, Barbara Jean

Pore, Barbara Jean is an individual health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pore, Barbara Jean can be contacted via phone (419) 520-2644.

Contact Information

Primary practice address
335 Glessner Ave Mansfield OH 44903-2269
Phone: (419) 520-2644
Fax: (419) 520-2619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 168124 Ohio

Profile Details

NPI number 1134228562
LBN Legal business name Pore, Barbara Jean
Credentials MSN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 9th, 2007 - about 19 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 1134228562 NPPES
Ohio MEDICAID 0137435

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