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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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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