Porter, Jeanetta Ann
Porter, Jeanetta Ann is an individual health care provider with primary practice located at 2680 State Route 545 , Mansfield OH 44903-9199. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Porter, Jeanetta Ann can be contacted via phone (419) 526-4240.Contact Information
Primary practice address
2680 State Route 545
Mansfield OH 44903-9199
Phone: (419) 526-4240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 2101175 | Ohio |
Profile Details
| NPI number | 1356319628 |
|---|---|
| LBN Legal business name | Porter, Jeanetta Ann |
| Credentials | HOME HEALTH AIDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1356319628 | NPPES |
| Ohio | MEDICAID | 2101175 |
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