Porter, Glyn Anne

Porter, Glyn Anne is an sole proprietor health care provider with primary practice located at 2901 Pepper Creek Bridge Pkwy , Valparaiso IN 46385-7127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Porter, Glyn Anne can be contacted via phone (219) 405-9950.

Contact Information

Primary practice address
2901 Pepper Creek Bridge Pkwy Valparaiso IN 46385-7127
Phone: (219) 405-9950
Fax: (219) 464-3873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01044317A Indiana

Profile Details

NPI number 1114912920
LBN Legal business name Porter, Glyn Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated Dec 12th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114912920 NPPES
Indiana MEDICAID 200409510

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