Porter, Alfred Conway
Porter, Alfred Conway is an sole proprietor health care provider with primary practice located at 3201 Hollywood Ave , Jackson MS 39213-6754. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as his primary health care specialty. Porter, Alfred Conway can be contacted via phone (601) 665-3402.Contact Information
Primary practice address
3201 Hollywood Ave
Jackson MS 39213-6754
Phone: (601) 665-3402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X |
Profile Details
| NPI number | 1740756758 |
|---|---|
| LBN Legal business name | Porter, Alfred Conway |
| Credentials | MBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2018 |
| Last updated | Oct 17th, 2018 - about 6 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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