Search › Indiana › 207Q00000X
Emmanuel Thierry Mentor
NPI 1770909392 · on the registry since 2014
Practice
- Address
- 650 Dickinson Rd
Chesterton, IN 46304 - Phone
- (219) 926-7755
- Fax
- (219) 929-1885
- Organisation at this address
- Porter Health Services
Porter Physician Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 3630 Willowcreek Rd, Portage, IN
- 809 Laporte Ave, Valparaiso, IN
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana