# PORTER CHIROPRACTIC CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063668374
- **Authorized official:** DR. EDWIN D PORTER D.M., D.C. (PRESIDENT)
- **Authorized official phone:** (330) 452-8811

## Contact information

- **Practice address:** 1412 CLEVELAND AVE NW, CANTON, OH 44703-3103
- **Practice address phone:** (330) 452-8811
- **Practice address fax:** (330) 452-8871
- **Mailing address:** 1412 CLEVELAND AVE NW, CANTON, OH 44703-3103
- **Mailing address phone:** (330) 452-8811
- **Mailing address fax:** (330) 452-8871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 08/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009880-8 | — | OH |