Porter, John Michael
Porter, John Michael is an individual health care provider with primary practice located at 103 Medical Park , Hattiesburg MS 39401-9042. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Porter, John Michael can be contacted via phone (601) 268-5757.Contact Information
Primary practice address
103 Medical Park
Hattiesburg MS 39401-9042
Phone: (601) 268-5757
Fax: (601) 579-5220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1518347681 |
|---|---|
| LBN Legal business name | Porter, John Michael |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2015 |
| Last updated | Jul 17th, 2020 - about 6 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 | 1518347681 | NPPES |
| Mississippi | MEDICAID | 08425764 |
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