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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK PORTER

Active Sole Proprietor

JACK PORTER is a Private Vehicle healthcare provider located in MANSFIELD, Ohio. NPI 1356129563 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · MANSFIELD, OH

Registration Details

NPI Number
1356129563
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2023 (2.717137343162 yrs)
Last Updated
Sep 19, 2023
License
UT015692 (OH)
Sole Proprietor
Yes

Practice Information

Address
1634 HELENA DR
MANSFIELD, OH, 449041817
Browse OH providers · Browse ZIP 44904
Phone
4195436853
Primary Specialty
Private Vehicle
347C00000X
Additional Specialty
Private Vehicle

Other Private Vehicle Providers in MANSFIELD, OH

Name Credential NPI
JAMES KELLY HARRIS 1376245506
SENECA DALTON 1710854542
KENNETH ALLEN 1861348336
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.