Puckett, John Willis
Puckett, John Willis is an individual health care provider with primary practice located at 520 Superior Ave #370, Newport Beach CA 92663-3637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Puckett, John Willis can be contacted via phone (949) 574-7176.Contact Information
Primary practice address
520 Superior Ave #370
Newport Beach CA 92663-3637
Phone: (949) 574-7176
Fax: (949) 574-7180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G38172A | California |
Profile Details
| NPI number | 1306938022 |
|---|---|
| LBN Legal business name | Puckett, John Willis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jan 27th, 2014 - about 11 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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