Portera Mankins, Sally B

Portera Mankins, Sally B is an individual health care provider with primary practice located at 211 S 3Rd St , Belleville IL 62220-1915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Portera Mankins, Sally B can be contacted via phone (618) 234-2120.

Contact Information

Primary practice address
211 S 3Rd St Belleville IL 62220-1915
Phone: (618) 234-2120
Fax: (618) 641-5410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 36117761 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2009023911 Missouri

Profile Details

NPI number 1134341746
LBN Legal business name Portera Mankins, Sally B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Dec 31st, 2020 - about 5 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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