Porter, Cassandra E

Porter, Cassandra E is an individual health care provider with primary practice located at 4634 Hills And Dales Rd Nw , Canton OH 44708-1510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Porter, Cassandra E can be contacted via phone (330) 493-1480.

Contact Information

Primary practice address
4634 Hills And Dales Rd Nw Canton OH 44708-1510
Fax: (330) 493-6805
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP11954 Ohio

Profile Details

NPI number 1497056428
LBN Legal business name Porter, Cassandra E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2010
Last updated Feb 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497056428 NPPES
Ohio MEDICAID 3144023

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