Puckett, Frankie A.
Puckett, Frankie A. is an individual health care provider with primary practice located at 125 Diana Dr , Webster Springs WV 26288-9078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Puckett, Frankie A. can be contacted via phone (304) 847-5682.Contact Information
Primary practice address
125 Diana Dr
Webster Springs WV 26288-9078
Phone: (304) 847-5682
Fax: (304) 847-5985
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 22820 | West Virginia |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22820 | West Virginia |
Profile Details
NPI number | 1851489157 |
---|---|
LBN Legal business name | Puckett, Frankie A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2006 |
Last updated | Jan 6th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851489157 | NPPES |
West Virginia | MEDICAID | 3810018033 |
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