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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1518347681 NPPES
Mississippi MEDICAID 08425764

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