Portal, Cynthia T
Portal, Cynthia T is an individual health care provider with primary practice located at 108 Harbourside , Williamsburg VA 23188-8004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Portal, Cynthia T can be contacted via phone (757) 229-9378.Contact Information
Primary practice address
108 Harbourside
Williamsburg VA 23188-8004
Phone: (757) 229-9378
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101042609 | Virginia |
Profile Details
| NPI number | 1417922444 |
|---|---|
| LBN Legal business name | Portal, Cynthia T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | May 20th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417922444 | NPPES |
| Virginia | MEDICAID | 010099765 |
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