Porter, Jeanelle H.
Porter, Jeanelle H. is an individual health care provider with primary practice located at 100 N Eagle Creek Dr , Lexington KY 40509-1805. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Porter, Jeanelle H. can be contacted via phone (859) 258-5073.Contact Information
Primary practice address
100 N Eagle Creek Dr
Lexington KY 40509-1805
Phone: (859) 258-5073
Fax: (859) 258-5074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT-001907 | Kentucky |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT-001907 | Kentucky |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-001907 | Kentucky |
Profile Details
| NPI number | 1609948868 |
|---|---|
| LBN Legal business name | Porter, Jeanelle H. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Dec 8th, 2020 - 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 | 1609948868 | NPPES |
| Kentucky | Other | 4000501 | MEDICARE LAB GROUP |
| Kentucky | Other | 650025330 | MEDICARE LAB GROUP |
| Kentucky | Other | 37903705 | MEDICARE LAB GROUP |
| Kentucky | Other | CB5773 | MEDICARE LAB GROUP |
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