Jack Porter in Lemoore - Addiction (substance Use Disorder)
Jack Porter - NPI 1780734574
Jack Porter is a Addiction (substance Use Disorder) in Lemoore, California. Jack Porter practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jack Porter is 1780734574. The last update date is 2007-07-08.
Jack Porter's current location address is 970 Makenna St, Lemoore, California. You can contact this provider via phone number 5599240663. The mailing address for Jack Porter is 970 Makenna St, Lemoore, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack Porter |
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Address | 970 Makenna St, Lemoore, California |
Phone Number | 5599240663 |
Fax Number | |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1780734574 |
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Provider Enumeration Date | 2007-01-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 970 Makenna St |
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City | Lemoore |
State | California (CA) |
Post Code | 932454502 |
Phone Number | 5599240663 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code issued to Jack Porter by the Centers for Medicare & Medicaid Services?
The Jack Porter has been assigned the NPI (National Provider Identifier) 1780734574 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jack Porter's facilities are situated?
The facilities of Jack Porter are physically located at the following address: 970 Makenna St, Lemoore, CA, 932454502.
What is Jack Porter's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack Porter is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
When was the Jack Porter's 1780734574 issued?
The Jack Porter's 1780734574 was issued on 2007-01-12.
When was the information regarding Jack Porter most recently updated?
The details pertaining to the Jack Porter, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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