Porter, Catherine J

Porter, Catherine J is an sole proprietor health care provider with primary practice located at 463 Deerfield Ln , Carbondale IL 62902-8076. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Porter, Catherine J can be contacted via phone (618) 201-2240.

Contact Information

Primary practice address
463 Deerfield Ln Carbondale IL 62902-8076
Phone: (618) 201-2240
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN00108404 Washington
Nursing Service Providers / General Practice 163WG0000X 041308103 Illinois
Nursing Service Providers / General Practice 163WG0000X 067173 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 067173 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209000368 Illinois

Profile Details

NPI number 1821185851
LBN Legal business name Porter, Catherine J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Oct 8th, 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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