Puckett, Brian Keith

Puckett, Brian Keith is an sole proprietor health care provider with primary practice located at 396 Ditmar Ave , Pontiac MI 48341-2614. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Puckett, Brian Keith can be contacted via phone (248) 238-9328.

Contact Information

Primary practice address
396 Ditmar Ave Pontiac MI 48341-2614
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1861155087
LBN Legal business name Puckett, Brian Keith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2021
Last updated Oct 14th, 2021 - about 3 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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