Port, Carolyn
Port, Carolyn is an individual health care provider with primary practice located at 10571 Telegraph Rd Suite 110, Glen Allen VA 23059-4652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Port, Carolyn can be contacted via phone (804) 266-9616.Contact Information
Primary practice address
10571 Telegraph Rd Suite 110
Glen Allen VA 23059-4652
Phone: (804) 266-9616
Fax: (804) 261-4935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101236627 | Virginia |
Profile Details
| NPI number | 1922025733 |
|---|---|
| LBN Legal business name | Port, Carolyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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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