Porter-Pursnani, Carla Jean
Porter-Pursnani, Carla Jean is an sole proprietor health care provider with primary practice located at 4108 Admiralty Ln , Foster City CA 94404-1678. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Porter-Pursnani, Carla Jean can be contacted via phone (650) 477-1891.Contact Information
Primary practice address
4108 Admiralty Ln
Foster City CA 94404-1678
Phone: (650) 477-1891
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 005679 | New York |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 005679 | New York |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 005679 | New York |
Profile Details
| NPI number | 1881633485 |
|---|---|
| LBN Legal business name | Porter-Pursnani, Carla Jean |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Nov 23rd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881633485 | NPPES |
| New York | MEDICAID | 00355931 | |
| New York | MEDICAID | 02275712 |
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