Porter, John Michael
Porter, John Michael is an sole proprietor health care provider with primary practice located at 12794 Royalton Rd , North Royalton OH 44133-4229. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Porter, John Michael can be contacted via phone (440) 237-6964.Contact Information
Primary practice address
12794 Royalton Rd
North Royalton OH 44133-4229
Phone: (440) 237-6964
Fax: (440) 237-4605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4675 T1450 | Ohio |
Profile Details
| NPI number | 1295794279 |
|---|---|
| LBN Legal business name | Porter, John Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Mar 19th, 2008 - about 16 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 | 1295794279 | NPPES |
| Ohio | MEDICAID | 0204853 |
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