Puckett, Alexx

Puckett, Alexx is an individual health care provider with primary practice located at 600 Grant St , Gary IN 46402-6001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Puckett, Alexx can be contacted via phone (219) 886-4000.

Contact Information

Primary practice address
600 Grant St Gary IN 46402-6001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002427A Indiana

Profile Details

NPI number 1588164123
LBN Legal business name Puckett, Alexx
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2018
Last updated Aug 16th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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