Individual provider · Type 1 NPI
Jack Porter
Private Vehicle · Mansfield, OH
NPI number
1356129563
Active
Practice location
1634 Helena Dr
Mansfield, OH 44904-1817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Homemaker | 376J00000X | None listed |
| Private Vehicle Primary | 347C00000X | UT015692 (OH) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Another provider at this address
Other private vehicle providers in Mansfield
About NPI 1356129563
Jack Porter's National Provider Identifier is 1356129563, issued on Sep 19, 2023. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Mansfield, OH. The record was last updated on Sep 19, 2023.