Puckett, Allan Dallas

Puckett, Allan Dallas is an sole proprietor health care provider with primary practice located at 1608 Texas Ct , Xenia OH 45385-4864. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Puckett, Allan Dallas can be contacted via phone (937) 372-5327.

Contact Information

Primary practice address
1608 Texas Ct Xenia OH 45385-4864
Phone: (937) 372-5327
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN113154 Ohio

Profile Details

NPI number 1720275787
LBN Legal business name Puckett, Allan Dallas
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2007
Last updated Oct 3rd, 2007 - about 17 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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