Basil-Porter, Amanda M
Basil-Porter, Amanda M is an individual health care provider with primary practice located at 25631 Little Mack Ave Ste 205 , Saint Clair Shores MI 48081-2108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Basil-Porter, Amanda M can be contacted via phone (586) 443-2380.Contact Information
Primary practice address
25631 Little Mack Ave Ste 205
Saint Clair Shores MI 48081-2108
Phone: (586) 443-2380
Fax: (586) 443-2935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA057154 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601009765 | Michigan |
Profile Details
| NPI number | 1528441854 |
|---|---|
| LBN Legal business name | Basil-Porter, Amanda M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2015 |
| Last updated | Aug 24th, 2026 - about 3 months 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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