Porter, John M

Porter, John M is an individual health care provider with primary practice located at 2500 N State St Ummc Department Of Surgery, Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Porter, John M can be contacted via phone (601) 815-1312.

Contact Information

Primary practice address
2500 N State St Ummc Department Of Surgery Jackson MS 39216-4500
Phone: (601) 815-1312
Fax: (601) 815-4570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 19827 Mississippi
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 19827 Mississippi

Profile Details

NPI number 1487735122
LBN Legal business name Porter, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Oct 23rd, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487735122 NPPES
Mississippi Other P01185849 RAILROAD MEDICARE
Mississippi Other P00797090 RAILROAD MEDICARE
Mississippi MEDICAID 00736216 RAILROAD MEDICARE
Mississippi MEDICAID 642422 RAILROAD MEDICARE

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