Porter, Connie
Porter, Connie is an individual health care provider with primary practice located at 165 W Center St , Marion OH 43302-3742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Porter, Connie can be contacted via phone (740) 692-4410.Contact Information
Primary practice address
165 W Center St
Marion OH 43302-3742
Phone: (740) 692-4410
Fax: (740) 692-4412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.019659 | Ohio |
Profile Details
| NPI number | 1063967396 |
|---|---|
| LBN Legal business name | Porter, Connie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2016 |
| Last updated | Dec 15th, 2021 - about 4 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 | 1063967396 | NPPES |
| Ohio | MEDICAID | 0182011 |
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