Puckett, Benjamin

Puckett, Benjamin is an individual health care provider with primary practice located at 2661 A St , San Diego CA 92102-1009. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Puckett, Benjamin can be contacted via phone (808) 489-6160.

Contact Information

Primary practice address
2661 A St San Diego CA 92102-1009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1881072726
LBN Legal business name Puckett, Benjamin
Credentials DIVE IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2015
Last updated May 12th, 2015 - about 9 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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