Doctor Name: | DR. JEREMY R PORTMANN |
NPI Number: | 1275554149 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 11297 |
Business Practice Address: | 112 Chestnut St Coshocton, OH - 438121129 |
Business Phone Number: | 7402918100 |
Business Fax Number: | 7402918400 |
Mailing Address: | 4564 Garber Dr Nw, STRASBURG |
State: | OH |
Postal Code: | 446809060 |
Phone Number: | 3304151190 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2006 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 11297 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |