| Specialty | Taxonomy Code | |
|---|---|---|
| * | Rural Health | 261QR1300X |
| Family | 363LF0000X | |
| Family Medicine | 207Q00000X | |
| Medical | 363AM0700X |
* Indicates primary specialty
| NPI Number | 1962469486 |
| Legal business name LBN |
PORT ALLEGANY AREA FAMILY PRACTICE PC |
| Authorized official | MARK SHELLEY - (PRESIDENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 04/27/2006 |
| Last updated | 06/22/2022 - About 4 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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