Search › Ohio › 347C00000X
Jack Porter
NPI 1356129563 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1634 Helena Dr
Mansfield, OH 44904 - Phone
- (419) 543-6853
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Also registered as
- 376J00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio