Porter, Shavondah

Porter, Shavondah is an sole proprietor health care provider with primary practice located at 6714 Etzel Ave , Saint Louis MO 63130-2427. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Porter, Shavondah can be contacted via phone (314) 941-2705.

Contact Information

Primary practice address
6714 Etzel Ave Saint Louis MO 63130-2427
Fax: (314) 769-9717
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1437478609
LBN Legal business name Porter, Shavondah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2010
Last updated May 26th, 2010 - about 15 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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