Porter, Stephanie Ann

Porter, Stephanie Ann is an individual health care provider with primary practice located at 323 Budfield St , Johnstown PA 15904-3213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Porter, Stephanie Ann can be contacted via phone (814) 262-9500.

Contact Information

Primary practice address
323 Budfield St Johnstown PA 15904-3213
Phone: (814) 262-9500
Fax: (814) 262-9142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD458454 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L3841 Texas

Profile Details

NPI number 1154349389
LBN Legal business name Porter, Stephanie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 28th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154349389 NPPES
Texas Other K0122980 CONTROLLED SUBSTANCE REGI

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