Porter, Jerome J
Porter, Jerome J is an sole proprietor health care provider with primary practice located at 719 E New St , Deland FL 32724-5811. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Porter, Jerome J can be contacted via phone (386) 738-1891.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 676191796 | Florida |
Profile Details
| NPI number | 1073822862 |
|---|---|
| LBN Legal business name | Porter, Jerome J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2010 |
| Last updated | Sep 28th, 2010 - about 14 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 | 1073822862 | NPPES |
| Florida | MEDICAID | 676191796 |
Popular Providers
-
Berry, Ebony D
120 E New York Ave , Deland FL 32724-5568 -
Reyes, Misty M
1450 S Woodland Blvd Ste 200A , Deland FL 32720-7547 -
Larose, Ashley Murphy
125 W Plymouth Ave , Deland FL 32720-2745 -
Hall, Kerri
120 E New York Ave Suite B, Deland FL 32724-5568 -
Boza, Krystal
1362 Robin Ct , Deland FL 32720-2544 -
Ingram, Ashley
148 Crawl Key Ct , Deland FL 32720-3951 -
Wade, Marcia
118 N Woodland Blvd Suit, Deland FL 32720-4217 -
Sierra, Viviana J
1450 S Woodland Blvd Ste 200A , Deland FL 32720-7547